Look up the most recent NPI and PECOS records

Jannell Francine Henderson

Radiology

Allopathic & Osteopathic Physicians

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

PECOS Enrollment

This provider is enrolled in PECOS as JANNELL HENDERSON.

Based on the most recent information from CMS, provider Jannell Francine Henderson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1225039167
Provider Type
Individual
Full Name
Henderson, Jannell Francine
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/2/2005
Last Updated
12/4/2024

Contact Information

Practice Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Mailing Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License A78011 California
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License MD.202750 Louisiana

Jannell Francine Henderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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