Mary Susan Henderson, MD is a
Obstetrics & Gynecology physician based in Lake Village, Arkansas. Mary Susan Henderson is licensed to practice in Arkansas (license number E-4988) and her current practice location is 2729 S Highway 65 82, Lake Village, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 265-9380.
NPI number for Mary Susan Henderson is 1972539773 and her current mailing address is 2729 S Highway 65 82, Lake Village, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972539773.
Physician's Profile
| Full Name | Mary Susan Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Obstetrics & Gynecology |
|---|
| Location | 2729 S Highway 65 82, Lake Village, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972539773
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 06/04/2014
Medical Identifiers
Medical identifiers for Mary Susan Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972539773 | NPI | - | NPPES |
| 1381659 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | E-4988 (Arkansas) | 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. Mary Susan 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 |
|---|
Mary Susan Henderson, MD
2729 S Highway 65 82,
Lake Village, AR 71653-6136
Ph: (870) 265-9380 | Mary Susan Henderson, MD
2729 S Highway 65 82,
Lake Village, AR 71653-6136
Ph: (870) 265-9380 |
Reviews and Comments