Mark Douglas Henderson, CRNA in Fort Sam Houston, TX - Medicare Nurse Anesthetist, Certified Registered

Mark Douglas Henderson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Sam Houston, Texas. His current practice location is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-8516.

Mark Douglas Henderson is licensed to practice in Texas (license number 671885) 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 1861470148.

Contact Information

	Mark Douglas Henderson, CRNA
	3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501
	(210) 916-8516
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark Douglas Henderson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3851 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861470148
Provider Enumeration Date: 01/06/2006
Last Update Date: 02/02/2012

Medicare PECOS Information:

PECOS PAC ID: 8022086636
Enrollment ID: I20080212000455

Medical Identifiers

Medical identifiers for Mark Douglas Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861470148	NPI	-	NPPES
191871609	Medicaid	TX
1918716009	Medicaid	TX
191871608	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	671885 (Texas)	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. Mark Douglas Henderson allows following entities to bill medicare on his behalf.

Entity Name	Texas Tech University Health Sciences Center El Paso
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806

Entity Name	El Paso County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316936990 PECOS PAC ID: 2365431509 Enrollment ID: O20040511001452

Entity Name	Anesthesia Associates Of El Paso Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942626908 PECOS PAC ID: 0941426357 Enrollment ID: O20140721001702

Entity Name	El Paso Ams Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134740202 PECOS PAC ID: 9931520970 Enrollment ID: O20200601000147

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. Mark Douglas 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
Mark Douglas Henderson, CRNA 1443 Osprey Hts, San Antonio, TX 78260-6016 Ph: (830) 438-4525	Mark Douglas Henderson, CRNA 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 Ph: (210) 916-8516

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Sam Houston, TX

Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-223-6272
Dr. Adam Sokolowski, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8216
Matthew Wayne Mcgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Mrs. Debra Valdivieso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9404
Heather Sherman Leal, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8534
Kendal W Miller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588
George C May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588

Mark Douglas Henderson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Sam Houston, TX