Dr Judy D Henderson, MD is a
Internal Medicine physician based in Coloma, Michigan. Dr Judy D Henderson is licensed to practice in Michigan (license number 4301088108) and her current practice location is 6572 Red Arrow Hwy, Coloma, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 202-7014.
NPI number for Dr Judy D Henderson is 1700813227 and her current mailing address is 6572 Red Arrow Hwy, Coloma, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700813227.
Physician's Profile
| Full Name | Dr Judy D Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
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| Location | 6572 Red Arrow Hwy, Coloma, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700813227
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 10/08/2015
Medical Identifiers
Medical identifiers for Dr Judy D Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700813227 | NPI | - | NPPES |
| 0111108 | Other | | BCBS |
| 1101111081 | Other | MI | BLUE CROS BLUE SHIELD |
| 1700813227 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4301088108 (Michigan) | Primary |
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 Judy D Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Judy D Henderson, MD
6572 Red Arrow Hwy,
Coloma, MI 49038-8700
Ph: (269) 202-7014 | Dr Judy D Henderson, MD
6572 Red Arrow Hwy,
Coloma, MI 49038-8700
Ph: (269) 202-7014 |
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