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Rebecca Myer Henderson

Internal Medicine

Allopathic & Osteopathic Physicians

1381 Westgate Center Dr, Winston Salem, NC 27103-2934

PECOS Enrollment

This provider is enrolled in PECOS as REBECCA HENDERSON.

Based on the most recent information from CMS, provider Rebecca Myer 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1639496458
Provider Type
Individual
Full Name
Henderson, Rebecca Myer
Title
Dr.
Credential
MD PHD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/3/2010
Last Updated
10/26/2020

Contact Information

Practice Location

1381 Westgate Center Dr, Winston Salem, NC 27103-2934

(336) 718-0100

(336) 718-0120

Mailing Location

PO Box 751803, Charlotte, NC 28275-1803

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 2015-01383 North Carolina

Rebecca Myer Henderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Marx, Richard S

Tonos, Anthony

Pierce, Helen Elizabeth

Day, Jennifer Beth

Forsyth Memorial Hospital, Inc

Wymer, Antoinette

Toni Wymer, M.D. Ltd

Hernandez, Hermes Xavier

Berger, Valerie Clarke

Bloomfield, Robert Lee