Dr Edward Daniel Henderson Jr, MD | |
9097 Collinsville Rd, Collinsville, MS 39325-9779 | |
(601) 626-8874 | |
(601) 626-8592 |
Full Name | Dr Edward Daniel Henderson Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 9097 Collinsville Rd, Collinsville, Mississippi |
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 |
---|---|---|---|
1346222890 | NPI | - | NPPES |
730-14734 | Other | BLUE CROSS OF AL | |
00121878 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16698 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Meridian, MS | Home health agency |
Sta Home Health And Hospice | Carthage, MS | Home health agency |
Amedisys Home Health | Meridian, MS | Home health agency |
Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
Southerncare Newton | Newton, MS | Hospice |
Laird Hospital Inc | Union, MS | Hospital |
Rush Foundation Hospital | Meridian, MS | Hospital |
Anderson Regional Medical Ctr | Meridian, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Laird Hospital, Inc. | 7214991769 | 36 |
Entity Name | Laird Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
Entity Name | Kemper Cah, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
Mailing Address | Practice Location Address |
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Dr Edward Daniel Henderson Jr, MD Po Box 2106, Meridian, MS 39302-2106 Ph: (601) 703-4282 | Dr Edward Daniel Henderson Jr, MD 9097 Collinsville Rd, Collinsville, MS 39325-9779 Ph: (601) 626-8874 |