| Anita Louise Henderson, MD | |
|
11089 Resort Rd Ste 206, Ellicott City, MD 21042-2073 | |
| (410) 696-3605 | |
| (410) 696-1387 |
| Full Name | Anita Louise Henderson |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 47 Years |
| Location | 11089 Resort Rd Ste 206, Ellicott City, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699804542 | NPI | - | NPPES |
| 030771800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | D29175 (Maryland) | Secondary |
| 207N00000X | Dermatology | D29175 (Maryland) | Primary |
| Entity Name | Dr. G Laser And Med Spa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922615509 PECOS PAC ID: 9436561792 Enrollment ID: O20201210002481 |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Louise Henderson, MD 11089 Resort Rd Ste 206, Ellicott City, MD 21042-2073 Ph: (410) 696-3605 | Anita Louise Henderson, MD 11089 Resort Rd Ste 206, Ellicott City, MD 21042-2073 Ph: (410) 696-3605 |
Nicholas Girardi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6021 University Blvd Ste 390, Ellicott City, MD 21043 Phone: 410-203-0607 | |
Dr. Frederick Norman Pearson Sr., M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 9055 Chevrolet Dr, Suite 204, Ellicott City, MD 21042 Phone: 410-465-1515 Fax: 410-465-1839 | |
Thuy Vi Nguyen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042 Phone: 410-992-4100 Fax: 410-992-4170 | |
Dr. Paul Andrew Rusonis, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6021 University Blvd, Suite 390, Ellicott City, MD 21043 Phone: 410-203-0607 Fax: 410-203-0677 |