Zachary Paul Henderson, DO is a medicare enrolled "Family Medicine" physician in West Union, West Virginia. His current practice location is
190 Marie St, West Union, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 873-1401.
Zachary Paul Henderson is licensed to practice in Pennsylvania (license number OT019784) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699395509.
Physician's Profile
| Full Name | Zachary Paul Henderson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 190 Marie St, West Union, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699395509
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 07/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466816137
- Enrollment ID: I20240918002728
Medical Identifiers
Medical identifiers for Zachary Paul Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699395509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OT019784 (Pennsylvania) | Primary |
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. Zachary Paul Henderson allows following entities to bill medicare on his behalf.
| Entity Name | Ritchie County Primary Care Assoc Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265404230
PECOS PAC ID: 0244142453
Enrollment ID: O20031105000082 |
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| Entity Name | Ritchie County Primary Care Assoc Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1265404230
PECOS PAC ID: 0244142453
Enrollment ID: O20080729000000 |
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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. Zachary Paul 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 |
|---|
Zachary Paul Henderson, DO
190 Marie St,
West Union, WV 26456-1132
Ph: () - | Zachary Paul Henderson, DO
190 Marie St,
West Union, WV 26456-1132
Ph: (304) 873-1401 |
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