Gage Henderson, PA-C
Individual provider Active NPI Physician Assistant · Ronan, MT
NPI 1043769847 · NPPES record last updated Aug 14, 2017
Key facts
- NPI
- 1043769847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MED-PAC-LIC-51617 (MT)
- Practice address
- 126 6TH Ave SW
Ronan, MT 59864-2600 - Phone
- (406) 676-4441
- Fax
- (406) 676-0835
- NPI assigned
- Sep 22, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SCL Health Medical Group - Billings LLC
Practice addresses (Care Compare)
1027 N 27TH St
Billings, MT 59101-0711
Phone (406) 237-5110
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913
16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270
32 Wicks Lane
Billings, MT 59105-3810
Phone (406) 238-6010
32 Wicks LN
Billings, MT 59105-3810
Phone (406) 237-8300
602 Henry Chapple St
Billings, MT 59106-1874
Phone (406) 901-2440
Hospital & facility affiliations
- Intermountain Health St Vincent Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161117001026 | MT | Practitioner - Physician Assistant | 1658650577 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Lukes Community Hospital | Current |
Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Current |
Accepting new patients | |
| St Lukes Community Hospital | Current |
Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200
32 Wicks Ln
Billings, MT 59105
Phone (406) 237-8300
1027 N 27th St
Billings, MT 59101
Phone (406) 237-5110
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
331 S Washington Ave
Ste B
Laurel, MT 59044
Phone (406) 237-3160
104 Rufus Ln
Polson, MT 59860
Phone (406) 543-8512
126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MED-PAC-LIC-51617 | MT | Yes |
Addresses
Primary practice location
126 6TH Ave SW
Ronan, MT 59864-2600
Mailing address
126 6TH Ave SW
Ronan, MT 59864-2600
Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.