William David Henry, DMD, PT is a medicare enrolled "Dentist - General Practice" provider in Jackson, Mississippi. His current practice location is
5935 Highway 18 W, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 922-7028.
William David Henry is licensed to practice in Mississippi (license number 3496-09) 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 1073692836.
Healthcare Provider's Profile
Full Name | William David Henry |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 5935 Highway 18 W, Jackson, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073692836
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 08/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 4688976590
- Enrollment ID: I20160111000100
Medical Identifiers
Medical identifiers for William David Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073692836 | NPI | - | NPPES |
7416031 | Other | MS | AETNA # |
000050976 | Other | MS | BCBS |
00121341 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT 2975 (Mississippi) | Secondary |
1223G0001X | Dentist - General Practice | 3496-09 (Mississippi) | Primary |
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. William David 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 |
William David Henry, DMD, PT 5935 Highway 18 W, Jackson, MS 39209-9625 Ph: (601) 922-7028 | William David Henry, DMD, PT 5935 Highway 18 W, Jackson, MS 39209-9625 Ph: (601) 922-7028 |
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