David Eugene Henderson, DPM is a medicare enrolled "Podiatrist" provider in Madison, Indiana. His current practice location is
1 Carpet Alley, Madison, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 265-2011.
David Eugene Henderson is licensed to practice in Indiana (license number 07000436A) 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 1902804560.
Healthcare Provider's Profile
| Full Name | David Eugene Henderson |
|---|
| Gender | Male |
|---|
| Speciality | Podiatrist |
|---|
| Location | 1 Carpet Alley, Madison, Indiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902804560
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 06/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294802567
- Enrollment ID: I20080929000405
Medical Identifiers
Medical identifiers for David Eugene Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902804560 | NPI | - | NPPES |
| 100148890A | Medicaid | IN | |
| 257980A | Other | IN | MEDICARE DME |
| 35-1787467 | Other | | TAX ID |
| 000000087922 | Other | | ANTHEM BCBS |
| 411730 | Other | IN | MEDICARE DME |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | 07000436A (Indiana) | Primary |
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. David Eugene 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 |
David Eugene Henderson, DPM 1 Carpet Aly, Madison, IN 47250-3562 Ph: (812) 265-2011 | David Eugene Henderson, DPM 1 Carpet Alley, Madison, IN 47250 Ph: (812) 265-2011 |
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