Fraser Henderson, is a medicare enrolled "Neurological Surgery" physician in Upper Marlboro, Maryland. His current practice location is
1401 Mercantile Ln Ste 341, Upper Marlboro, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 557-9049.
Fraser Henderson is licensed to practice in District Of Columbia (license number 20803) 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 1063404788.
Physician's Profile
| Full Name | Fraser Henderson |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 1401 Mercantile Ln Ste 341, Upper Marlboro, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063404788
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 09/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 2860549623
- Enrollment ID: I20090414000050
Medical Identifiers
Medical identifiers for Fraser Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063404788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207T00000X | Neurological Surgery | 20803 (District Of Columbia) | 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. Fraser Henderson allows following entities to bill medicare on his behalf.
| Entity Name | The Metropolitan Neurosurgery Group LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528205408 PECOS PAC ID: 7113074972 Enrollment ID: O20090414000067 |
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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. Fraser 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 |
Fraser Henderson, 1401 Mercantile Ln, Upper Marlboro, MD 20774-4301 Ph: (301) 557-9049 | Fraser Henderson, 1401 Mercantile Ln Ste 341, Upper Marlboro, MD 20774-4331 Ph: (301) 557-9049 |
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