Mr Mark William Henry, MS, RPA-C, ATC in Newark, NJ

Mr Mark William Henry, MS, RPA-C, ATC is a medicare enrolled "Physician Assistant" in Newark, New Jersey. His current practice location is 205 S Orange Ave, C-level #1200, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 972-8240.

Mr Mark William Henry is licensed to practice in New York (license number 015279) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578502779.

Contact Information

	Mr Mark William Henry, MS, RPA-C, ATC
	205 S Orange Ave, C-level #1200, Newark, NJ 07103-2785
	(973) 972-8240
	(973) 972-9367

Map and Direction

Provider's Profile

Full Name	Mr Mark William Henry
Gender	Male
Speciality	Physician Assistant
Location	205 S Orange Ave, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578502779
Provider Enumeration Date: 06/05/2006
Last Update Date: 03/09/2016

Medicare PECOS Information:

PECOS PAC ID: 7719348515
Enrollment ID: I20230726001668

Medical Identifiers

Medical identifiers for Mr Mark William Henry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578502779	NPI	-	NPPES
1098952	Other		NCCPA
015279	Other	NY	PHYSICIAN ASSISTANT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	015279 (New York)	Primary
363A00000X	Physician Assistant	1098952 (* (Not Available))	Secondary
2255A2300X	Specialist/technologist - Athletic Trainer	(* (Not Available))	Secondary
363A00000X	Physician Assistant	25MP00331900 (New Jersey)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark William Henry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Mark William Henry, MS, RPA-C, ATC 205 S Orange Ave, C-level #1200, Newark, NJ 07103-2785 Ph: (973) 972-6500	Mr Mark William Henry, MS, RPA-C, ATC 205 S Orange Ave, C-level #1200, Newark, NJ 07103-2785 Ph: (973) 972-8240

Reviews and Comments

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Mr Mark William Henry, MS, RPA-C, ATC - Medicare Physician Assistant in Newark, NJ