Dr Dennis Malcolm Henderson, PHD is a medicare enrolled "Psychologist" provider in Gast Northport, New York. His current practice location is
12 Gildare Drive, Gast Northport, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 368-8502.
Dr Dennis Malcolm Henderson is licensed to practice in New York (license number 011792-1) 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 1639287758.
Healthcare Provider's Profile
| Full Name | Dr Dennis Malcolm Henderson |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 12 Gildare Drive, Gast Northport, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639287758
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648262014
- Enrollment ID: I20040402001202
Medical Identifiers
Medical identifiers for Dr Dennis Malcolm Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639287758 | NPI | - | NPPES |
| 01660737 | Medicaid | NY | |
| S11729-9 | Other | NY | WORKERS COMP ON SATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 011792-1 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dennis Malcolm Henderson allows following entities to bill medicare on his behalf.
| Entity Name | Dennis M Henderson Psychological Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518158088
PECOS PAC ID: 9638068075
Enrollment ID: O20040312001043 |
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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. Dr Dennis Malcolm Henderson 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 |
|---|
Dr Dennis Malcolm Henderson, PHD
12 Gildare Drive,
Gast Northport, NY 11731-3223
Ph: (631) 368-8502 | Dr Dennis Malcolm Henderson, PHD
12 Gildare Drive,
Gast Northport, NY 11731-3223
Ph: (631) 368-8502 |
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