Sandra K Patrick Hendricks, is a medicare enrolled "Social Worker - Clinical" provider in Hugo, Colorado. Her current practice location is
111 6th St, Hugo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 775-8662.
Sandra K Patrick Hendricks is licensed to practice in Colorado (license number CSW00992784) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205364023.
Healthcare Provider's Profile
Full Name | Sandra K Patrick Hendricks |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 111 6th St, Hugo, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205364023
- Provider Enumeration Date: 05/24/2017
- Last Update Date: 05/24/2017
Medicare PECOS Information:
- PECOS PAC ID: 5991060030
- Enrollment ID: I20180521001498
Medical Identifiers
Medical identifiers for Sandra K Patrick Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205364023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW00992784 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sandra K Patrick Hendricks allows following entities to bill medicare on her behalf.
Entity Name | Lincoln Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720107519 PECOS PAC ID: 8729987219 Enrollment ID: O20161208000347 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra K Patrick Hendricks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra K Patrick Hendricks, Po Box 248, Hugo, CO 80821-0248 Ph: (719) 743-2155 | Sandra K Patrick Hendricks, 111 6th St, Hugo, CO 80821-2002 Ph: (719) 775-8662 |
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