Gregory Philip Henderson, MD in Newport Beach, CA

Gregory Philip Henderson, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Newport Beach, California. He went to University Of Southern California Keck School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Csi Medical Group and his current practice location is 1441 Avocado Ave Ste 409, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 640-4501.

Gregory Philip Henderson is licensed to practice in California (license number A125261) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619109519.

Contact Information

	Gregory Philip Henderson, MD
	1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705
	(949) 640-4501
	Not Available

Map and Direction

Physician's Profile

Full Name	Gregory Philip Henderson
Gender	Male
Speciality	Dermatology
Experience	15 Years
Location	1441 Avocado Ave Ste 409, Newport Beach, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gregory Philip Henderson attended and graduated from University Of Southern California Keck School Of Medicine in 2009

NPI Data:

NPI Number: 1619109519
Provider Enumeration Date: 08/11/2009
Last Update Date: 06/18/2020

Medicare PECOS Information:

PECOS PAC ID: 9537283890
Enrollment ID: I20131211000965

Medical Identifiers

Medical identifiers for Gregory Philip Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619109519	NPI	-	NPPES
ENROLLED	Medicaid	MN
P00940083	Other	MN	RAILROAD MEDICARE
ENROLLED	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	A125261 (California)	Primary
207N00000X	Dermatology	A125261 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Csi Medical Group	5890916845	103

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. Gregory Philip Henderson allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568431310 PECOS PAC ID: 8426956160 Enrollment ID: O20031219000512

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

Entity Name	Csi Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930

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. Gregory Philip 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
Gregory Philip Henderson, MD 1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705 Ph: (949) 640-4501	Gregory Philip Henderson, MD 1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705 Ph: (949) 640-4501

Reviews and Comments

Dermatology Doctors in Newport Beach, CA

Annette Mcauley, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439
Dr. Lisa Yun Xu, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5010 Campus Dr Ste 120, Newport Beach, CA 92660 Phone: 949-773-4784
Laila M. Elkeeb, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20301 Sw Birch St, 100, Newport Beach, CA 92660 Phone: 949-251-1502 Fax: 949-251-1522
Dr. Cynthia Chen Lazzaro, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660 Phone: 949-515-4111
Samuel R Peterson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 309, Newport Beach, CA 92660 Phone: 949-640-0434
Nancy Lee Silverberg, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439
Mrs. Kathleen P Hutton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave, Suite 309, Newport Beach, CA 92660 Phone: 949-644-8556 Fax: 949-644-6318

Gregory Philip Henderson, MD - Medicare Dermatology in Newport Beach, CA