Charles Gerry Henderson, MD | |
9300 Dewitt Loop, Attn: Urology, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | |
(571) 231-2633 | |
(571) 231-2611 |
Full Name | Charles Gerry Henderson |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 9300 Dewitt Loop, Attn: Urology, Fort Belvoir, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912067273 | NPI | - | NPPES |
021315000 | Medicaid | FL |
Entity Name | Florida Clinical Practice Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Charles Gerry Henderson, MD 2724 Fort Scott Dr, Arlington, VA 22202-2305 Ph: (240) 505-5402 | Charles Gerry Henderson, MD 9300 Dewitt Loop, Attn: Urology, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Ph: (571) 231-2633 |
Dr. Monica Lynn Colombo, M.D. Urology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2552 | |
John Felix Mccauley Iv, MD Urology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop Fl 2, Fort Belvoir, VA 22060 Phone: 571-231-2552 Fax: 571-231-6656 | |
Dr. Jason Sedarsky, M.D. Urology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2552 |