| Clifford Lenny Henderson, MD | |
|
9720 Broadway Ext, Oklahoma City, OK 73114-6315 | |
| (405) 280-7546 | |
| (405) 772-8674 |
| Full Name | Clifford Lenny Henderson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 17 Years |
| Location | 9720 Broadway Ext, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477713642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26344 (Oklahoma) | Secondary |
| 207N00000X | Dermatology | 26344 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 395 |
| Entity Name | Ssm Health Care Of Oklahoma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford Lenny Henderson, MD 9720 Broadway Ext, Oklahoma City, OK 73114-6315 Ph: (405) 280-7546 | Clifford Lenny Henderson, MD 9720 Broadway Ext, Oklahoma City, OK 73114-6315 Ph: (405) 280-7546 |
Jason Matthew Hirshburg, M.D. PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7336 N Classen Blvd Ste 200, Oklahoma City, OK 73116 Phone: 405-285-8823 Fax: 405-285-8824 | |
Dr. Carlos Andres Garcia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4805 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-1506 Fax: 405-636-1511 | |
Francesca L Veon, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1000 Ne 13th St # 3960, Oklahoma City, OK 73104 Phone: 405-271-6110 | |
Mark Stover Sullivan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3366 Nw Expressway, Suite 720, Oklahoma City, OK 73112 Phone: 405-947-0676 Fax: 405-945-4876 | |
Dr. Brandon Rhinehart, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13100 N Western, Ste 301, Oklahoma City, OK 73114 Phone: 405-947-6647 Fax: 405-948-6647 | |
Marlee Michele Wimberley, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 13th St # 3960, Oklahoma City, OK 73104 Phone: 405-271-6110 | |
Mark A Dawkins, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13174 N Macarthur Blvd, Oklahoma City, OK 73142 Phone: 405-721-5555 Fax: 405-470-7093 |