Dr Randall Dale Henderson, DO is a medicare enrolled "Family Medicine" physician in Whitney, Texas. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 1999 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Randall Henderson, D.o. Pllc and his current practice location is
1314 N Brazos St, Whitney, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 694-3621.
Dr Randall Dale Henderson is licensed to practice in Texas (license number L1340) 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 1700879848.
Physician's Profile
| Full Name | Dr Randall Dale Henderson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 1314 N Brazos St, Whitney, Texas |
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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 Randall Dale Henderson attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 1999
NPI Data:
- NPI Number: 1700879848
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 03/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 4486645215
- Enrollment ID: I20110308001010
Medical Identifiers
Medical identifiers for Dr Randall Dale Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700879848 | NPI | - | NPPES |
| 159121604 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | L1340 (Texas) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Family Home Health Care | Whitney, TX | Home health agency |
| Texas Home Health Group Of Waco Llc | Waco, TX | Home health agency |
| Encompass Home Health Of North Central Texas | Fort worth, TX | Home health agency |
| Lee Healthcare Inc | Hamilton, TX | Home health agency |
| Providence Home Care | Waco, TX | Home health agency |
| Providence Health Center | Waco, TX | Hospital |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | Hospital |
| Hill Regional Hospital | Hillsboro, TX | Hospital |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | Hospital |
| Town Hall Estates Whitney Inc | Whitney, TX | Nursing home |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Randall Henderson, D.o. Pllc | 3274759303 | 5 |
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 Randall Dale Henderson allows following entities to bill medicare on his behalf.
| Entity Name | Randall Henderson, D.o. Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366862310
PECOS PAC ID: 3274759303
Enrollment ID: O20140728000475 |
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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 Randall Dale 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 Randall Dale Henderson, DO
Po Box 2177,
Whitney, TX 76692-5177
Ph: (254) 694-3621 | Dr Randall Dale Henderson, DO
1314 N Brazos St,
Whitney, TX 76692-2010
Ph: (254) 694-3621 |
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