4755 OGLETOWN-STANTON ROAD MAP 1, SUITE 116
NEWARK, DE 19718-2200 US PECOS Enrolled
Overview
Tracey A. Henderson is a Pediatrician in the NEWARK area. Tracey A. Henderson primary office location is at 4755 OGLETOWN-STANTON ROAD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013188754 and the information was updated approximately 11 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 258019 | NY |
| C1-0011343 | DE |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Pediatrician - Taxonomy Code 208000000X | DE | Y |
| Pediatrician - Taxonomy Code 208000000X | NY | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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