| Hattie E Henderson, MD | |
|
820 E Front St, Tyler, TX 75702-8326 | |
| (903) 596-0602 | |
| (903) 596-0620 |
| Full Name | Hattie E Henderson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 820 E Front St, Tyler, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407817489 | NPI | - | NPPES |
| 165297602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L5762 (Texas) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | L5762 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Health Services | Baytown, TX | Home health agency |
| Ipr Healthcare System Inc | Houston, TX | Home health agency |
| Houston Methodist San Jacinto Hospital | Baytown, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Community Health Services Inc | 7911969092 | 146 |
| Entity Name | Willow Wellness Center, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346346335 PECOS PAC ID: 7719085653 Enrollment ID: O20070531000236 |
| Entity Name | Legacy Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Hattie E Henderson, MD 820 E Front St, Tyler, TX 75702-8326 Ph: (903) 596-0602 | Hattie E Henderson, MD 820 E Front St, Tyler, TX 75702-8326 Ph: (903) 596-0602 |
Dr. John W Scroggins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 | |
Dr. James Kent Gray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707 Phone: 903-655-0880 Fax: 903-654-6415 | |
Dr. Eric R Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton, Tyler, TX 75701 Phone: 903-509-8888 | |
Michele C Bosworth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 Fax: 903-877-5080 | |
Dr. James A Lively, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton Dr, Tyler, TX 75701 Phone: 903-509-8888 | |
Steven J Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8764 | |
Andrea M Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 |