| Travis Wayne Henson, MD | |
|
18300 Highway 18, Apple Valley, CA 92307 | |
| (760) 242-2311 | |
| Not Available |
| Full Name | Travis Wayne Henson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 18300 Highway 18, Apple Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548205560 | NPI | - | NPPES |
| 00A857110 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A85711 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Wayne Henson, MD 2100 Powell Street, Ste 920, Emeryville, CA 94608-1803 Ph: (510) 350-2600 | Travis Wayne Henson, MD 18300 Highway 18, Apple Valley, CA 92307 Ph: (760) 242-2311 |
Alexander Sang-hyun Lee, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Timothy Grant Mcnaughton, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Eugene Wen-chun Hu, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Todd Anthone Larson, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Jose Benavidez Bueno, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 19273 Kanbridge St, Apple Valley, CA 92308 Phone: 760-912-1613 | |
R. David Kovacik, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |