| Paul Lars Henderson, PA-C | |
|
1969 W Hart Rd, Beloit, WI 53511-2298 | |
| (608) 364-5011 | |
| Not Available |
| Full Name | Paul Lars Henderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1969 W Hart Rd, Beloit, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043982341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.008337 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 5543-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 416 |
| Beloit Health System Inc | 8224947858 | 111 |
| Sauk Prairie Healthcare Inc | 8224948054 | 81 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Lars Henderson, PA-C 1008 Oak Grove Ct, Valparaiso, IN 46383-2049 Ph: (703) 772-5618 | Paul Lars Henderson, PA-C 1969 W Hart Rd, Beloit, WI 53511-2298 Ph: (608) 364-5011 |
Morgan Nicole Mcentire, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3005 S Riverside Dr Ste 101, Beloit, WI 53511 Phone: 608-365-7200 | |
Stacy Heitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5011 | |
Vicki P. Smythe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 74 Eclipse Ctr, Beloit, WI 53511 Phone: 608-361-0311 Fax: 608-361-0312 | |
Stephanie M Lake-melton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 Eclipse Ctr, Beloit, WI 53511 Phone: 608-361-0331 | |
Mr. Curtis Seiler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5011 | |
Kelly N Lovejoy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5011 |