Travis B Henderson, MD is a medicare enrolled "Internal Medicine" physician in Mobridge, South Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mobridge Regional Hospital and his current practice location is
1309 10th Ave W, Mobridge, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 845-3692.
Travis B Henderson is licensed to practice in South Dakota (license number 4780) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1558343061.
Physician's Profile
| Full Name | Travis B Henderson |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 27 Years |
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| Location | 1309 10th Ave W, Mobridge, South Dakota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Travis B Henderson attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1997
NPI Data:
- NPI Number: 1558343061
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 11/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 2860476553
- Enrollment ID: I20040618000217
Medical Identifiers
Medical identifiers for Travis B Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558343061 | NPI | - | NPPES |
| 6004770 | Medicaid | SD | |
| 1558343061 | Medicaid | SD | |
| S41965 | Other | | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 4780 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mobridge Regional Hospital | 6507776135 | 17 |
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. Travis B Henderson allows following entities to bill medicare on his behalf.
| Entity Name | Mobridge Regional Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871554311
PECOS PAC ID: 6507776135
Enrollment ID: O20040130000772 |
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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. Travis B 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 |
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Travis B Henderson, MD
1309 10th Ave W,
Mobridge, SD 57601-1146
Ph: (605) 845-3692 | Travis B Henderson, MD
1309 10th Ave W,
Mobridge, SD 57601-1146
Ph: (605) 845-3692 |
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