Dr Madahari Tyler Aldhem Henry, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Elizabeth City, North Carolina. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Albemarle Physician Services - Sentara Inc and his current practice location is
905 Thunder Rd Ste 140, Elizabeth City, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 334-0320.
Dr Madahari Tyler Aldhem Henry is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790356251.
Physician's Profile
| Full Name | Dr Madahari Tyler Aldhem Henry |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 5 Years |
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| Location | 905 Thunder Rd Ste 140, Elizabeth City, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Madahari Tyler Aldhem Henry graduated from medical school in 2020
NPI Data:
- NPI Number: 1790356251
- Provider Enumeration Date: 07/06/2021
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183027246
- Enrollment ID: I20240729004619
Medical Identifiers
Medical identifiers for Dr Madahari Tyler Aldhem Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790356251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1790356251 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Albemarle Physician Services - Sentara Inc | 8729139852 | 54 |
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 Madahari Tyler Aldhem Henry allows following entities to bill medicare on his behalf.
| Entity Name | Albemarle Physician Services - Sentara Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942443130
PECOS PAC ID: 8729139852
Enrollment ID: O20090630000446 |
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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 Madahari Tyler Aldhem Henry 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 Madahari Tyler Aldhem Henry, MD
1221 E State St,
Rockford, IL 61104-2231
Ph: (815) 972-1000 | Dr Madahari Tyler Aldhem Henry, MD
905 Thunder Rd Ste 140,
Elizabeth City, NC 27909-7672
Ph: (252) 334-0320 |
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