Dr Jeffrey Harris Henderson, MD in Winston Salem, NC

Dr Jeffrey Harris Henderson, MD is a medicare enrolled "Family Medicine" physician in Winston Salem, North Carolina. His current practice location is 170 Kimel Park Dr, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 323-2000.

Dr Jeffrey Harris Henderson is licensed to practice in North Carolina (license number 2011-00070) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235386848.

Contact Information

	Dr Jeffrey Harris Henderson, MD
	170 Kimel Park Dr, Winston Salem, NC 27103-6946
	(704) 323-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey Harris Henderson
Gender	Male
Speciality	Family Medicine
Location	170 Kimel Park Dr, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235386848
Provider Enumeration Date: 08/26/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1355405051
Enrollment ID: I20110914000027

Medical Identifiers

Medical identifiers for Dr Jeffrey Harris Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235386848	NPI	-	NPPES
1497704217	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	2011-00070 (North Carolina)	Secondary
207Q00000X	Family Medicine	2011-00070 (North Carolina)	Primary

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. Dr Jeffrey Harris Henderson allows following entities to bill medicare on his behalf.

Entity Name	The Moses H Cone Memorial Hospital Operating Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541

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. Dr Jeffrey Harris 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
Dr Jeffrey Harris Henderson, MD 4601 Park Rd, Suite 250, Charlotte, NC 28209-3239 Ph: (704) 323-2000	Dr Jeffrey Harris Henderson, MD 170 Kimel Park Dr, Winston Salem, NC 27103-6946 Ph: (704) 323-2000

Reviews and Comments

Family Medicine Doctors in Winston Salem, NC

Jessica Hart St. John, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1834 Wake Forest Rd, Winston Salem, NC 27109 Phone: 336-758-5218
Dr. Timothy Lee Fischer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4692 Brownsboro Rd, Winston Salem, NC 27106 Phone: 336-251-1114
Katherine Farris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Maplewood Ave, Suite 112, Winston Salem, NC 27103 Phone: 336-768-2980 Fax: 336-765-6599
Michael Lee Coates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Matthew Allen Laws, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 312 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-716-7576 Fax: 336-702-9342
Ricky Howard Stugart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Robinhood Medical Plz, Dba Maplewood Family Practice, Winston Salem, NC 27106 Phone: 336-718-0800 Fax: 336-718-0871
Dr. Michele Denise Powell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7781 N Point Blvd, Winston Salem, NC 27106 Phone: 336-765-3430 Fax: 336-765-3429

Dr Jeffrey Harris Henderson, MD - Medicare Family Medicine in Winston Salem, NC