DR. BLAKE TARLETON HENDERSON M.D.
NPI 1992064893
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Dr. Blake Tarleton Henderson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAKE TARLETON HENDERSON M.D. (NPI 1992064893) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Blake Tarleton Henderson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blake Henderson's NPI number?
The NPI number for Blake Henderson is 1992064893. It was assigned to this individual provider in the NPPES registry on May 11, 2012.
Where is Blake Henderson located?
Blake Henderson practices at 2425 Geary Blvd # M160, San Francisco, CA 94115. The listed phone number is (916) 521-6062.
What is Blake Henderson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Blake Henderson enrolled in Medicare?
Yes. Blake Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Blake Henderson was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Blake Tarleton Henderson, M.D. · NPI 1992064893
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since May 11, 2012.
## Identity
- **NPI:** 1992064893 (Entity type: Individual)
- **Enumerated:** May 11, 2012
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2425 GEARY BLVD # M160, San Francisco, CA 94115-3358
- **Phone:** (916) 521-6062
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1992064893) · Data from the CMS NPPES public registry.