| Raymond Henderson Sr, MD | |
|
1411 N Flagler Dr, Suite 7300, West Palm Beach, FL 33401-3404 | |
| (561) 804-9898 | |
| (561) 804-9049 |
| Full Name | Raymond Henderson Sr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1411 N Flagler Dr, West Palm Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275648750 | NPI | - | NPPES |
| P1024914 | Other | FL | FREEDOM |
| 4510159 | Other | FL | AETNA |
| 221891 | Other | FL | AVMED |
| 055398100 | Medicaid | FL | |
| 1022165 | Other | FL | CAREPLUS |
| 1605100 | Other | FL | CIGNA |
| P01591843 | Other | FL | RR MEDICARE |
| P963010 | Other | FL | OPTIMUM |
| 03303 | Other | FL | WELLCARE |
| 12883 | Other | FL | BCBS |
| 2886 | Other | FL | DIMENSION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME59588 (Florida) | Primary |
| Entity Name | Independent Multispecialty Group Of Florida Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346745122 PECOS PAC ID: 9638429731 Enrollment ID: O20180911003654 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Henderson Sr, MD 2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Raymond Henderson Sr, MD 1411 N Flagler Dr, Suite 7300, West Palm Beach, FL 33401-3404 Ph: (561) 804-9898 |
Ratan D Bhardwaj, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 927 45th St Ste 301, West Palm Beach, FL 33407 Phone: 561-295-9100 Fax: 561-845-9295 | |
Dr. Richard A Lynn, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1411 N Flagler Dr, Suite #9700, West Palm Beach, FL 33401 Phone: 561-655-1877 Fax: 561-655-6404 | |
Elena Teresa Rehl, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1411 N Flagler Dr Ste 5000, West Palm Beach, FL 33401 Phone: 561-655-6622 Fax: 561-655-6623 | |
Anne Crowe Fischer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 927 45th St, Ste 301, West Palm Beach, FL 33407 Phone: 561-295-9100 Fax: 561-845-9295 | |
Gabriel Zambrano, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 927 45th St, Ste 203, West Palm Beach, FL 33407 Phone: 561-844-4004 Fax: 561-842-8190 | |
Dr. Donna H Kleban, MD Surgery Medicare: Medicare Enrolled Practice Location: 1411 N Flagler Dr Ste 8300, West Palm Beach, FL 33401 Phone: 561-832-2134 Fax: 561-832-5316 | |
Daniel Roland Higgins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1201 N Olive Ave, West Palm Beach, FL 33401 Phone: 561-655-4334 Fax: 561-655-4864 |