David J Henderson, MD in Bountiful, UT

David J Henderson, MD is a medicare enrolled "Urology" physician in Bountiful, Utah. He went to University Of Utah School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Urology. He is a member of the group practice Lakeview Urology And General Surgery Llc and his current practice location is 620 Medical Dr Ste 150, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 298-3247.

David J Henderson is licensed to practice in Utah (license number 1593801205) 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 1417933284.

Contact Information

	David J Henderson, MD
	620 Medical Dr Ste 150, Bountiful, UT 84010-5085
	(801) 298-3247
	(801) 298-9675

Map and Direction

Physician's Profile

Full Name	David J Henderson
Gender	Male
Speciality	Urology
Experience	49 Years
Location	620 Medical Dr Ste 150, Bountiful, Utah
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:

David J Henderson attended and graduated from University Of Utah School Of Medicine in 1975

NPI Data:

NPI Number: 1417933284
Provider Enumeration Date: 12/22/2005
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7618994195
Enrollment ID: I20051025000474

Medical Identifiers

Medical identifiers for David J Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417933284	NPI	-	NPPES
05356	Medicaid	UT
1518109032	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	1593801205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeview Hospital	Bountiful, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeview Urology And General Surgery Llc	8325198690	2

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. David J Henderson allows following entities to bill medicare on his behalf.

Entity Name	Lakeview Urology & General Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518109032 PECOS PAC ID: 8325198690 Enrollment ID: O20090608000263

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. David J 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
David J Henderson, MD Po Box 405831, Atlanta, GA 30384-5831 Ph: () -	David J Henderson, MD 620 Medical Dr Ste 150, Bountiful, UT 84010-5085 Ph: (801) 298-3247

Reviews and Comments

Urology Doctors in Bountiful, UT

Mr. Perry T Walters, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 425 Medical Dr, Suite 112, Bountiful, UT 84010 Phone: 801-292-7249 Fax: 801-292-7251
Justin Paul Parkinson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr, Suite 370, Bountiful, UT 84010 Phone: 801-965-3600

David J Henderson, MD - Medicare Urology in Bountiful, UT