Dr Joseph Welles Henderson Iv, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Richmond Heights, Ohio. His current practice location is
27100 Chardon Road, Suite 100, Richmond Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 516-8700.
Dr Joseph Welles Henderson Iv is licensed to practice in Ohio (license number 35-124412) 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 1528200904.
Physician's Profile
| Full Name | Dr Joseph Welles Henderson Iv |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery |
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| Location | 27100 Chardon Road, Richmond Heights, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528200904
- Provider Enumeration Date: 03/31/2009
- Last Update Date: 01/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133362486
- Enrollment ID: I20140911000404
Medical Identifiers
Medical identifiers for Dr Joseph Welles Henderson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528200904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35124412 (Ohio) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 35-124412 (Ohio) | 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 Joseph Welles Henderson Iv allows following entities to bill medicare on his behalf.
| Entity Name | The Metrohealth System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355 |
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| Entity Name | University Primary Care Practices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767 |
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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 Joseph Welles Henderson Iv 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 |
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Dr Joseph Welles Henderson Iv, MD
27100 Chardon Rd Ste 100,
Richmond Heights, OH 44143-1192
Ph: (440) 516-8700 | Dr Joseph Welles Henderson Iv, MD
27100 Chardon Road, Suite 100,
Richmond Heights, OH 44143
Ph: (440) 516-8700 |
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