MEDICARE: DON LEWIS HENSLEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	15241	SC
2	208800000X	Urology Physician	R3J60	MO
3	208800000X	Urology Physician	19060	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	340006942	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	06067	OTHER	BLUE CROSS BLUE SHIELD
2	1900049	OTHER	UNITED HEALTH CARE
4	1251	OTHER	MIDLANDS CHOICE

General Provider Information

NPI Number	:	1285657551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON LEWIS HENSLEE MD

Provider Business Mailing Address
First Line	:	PO BOX 277
Second Line	:
City	:	FAIRBURY
State	:	NE
Zip	:	68352-0277
Country	:	US
Telephone Number	:	402-729-3351
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 H ST
Second Line	:
City	:	FAIRBURY
State	:	NE
Zip	:	68352-1119
Country	:	US
Telephone Number	:	402-729-3351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	01/02/2024

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Directions to “ DON LEWIS HENSLEE MD” Practice Location

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