| 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 | 33 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 |
|---|---|---|
| Amedisys Home Health | Meridian, MS | Home health agency |
| Sta Home Health And Hospice | Carthage, MS | Home health agency |
| Kindred At Home | Meridian, 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 |
| John C Stennis Memorial Hospital | De kalb, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Laird Hospital, Inc. | 7214991769 | 30 |
| Entity Name | Laird Hospital, Inc. |
|---|---|
| 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. |
|---|---|
| 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 |
|---|---|
| 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 |