Mr Norman E Hendricksen, PHD is a medicare enrolled "Psychologist" provider in Clovis, California. His current practice location is
521 W. Enterprise, Clovis, California. You can reach out to his office (for appointments etc.) via phone at
(559) 322-9734.
Mr Norman E Hendricksen is licensed to practice in California (license number PSY5938) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649371212.
Healthcare Provider's Profile
Full Name | Mr Norman E Hendricksen |
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Gender | Male |
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Speciality | Psychologist |
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Location | 521 W. Enterprise, Clovis, California |
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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: 1649371212
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 03/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 7810156254
- Enrollment ID: I20120305000519
Medical Identifiers
Medical identifiers for Mr Norman E Hendricksen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649371212 | NPI | - | NPPES |
PSY059380 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | OPL59380 (California) | Secondary |
103T00000X | Psychologist | PSY5938 (California) | Primary |
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. Mr Norman E Hendricksen 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 |
Mr Norman E Hendricksen, PHD P.o. Box 27763, Fresno, CA 93729-1031 Ph: (559) 499-1233 | Mr Norman E Hendricksen, PHD 521 W. Enterprise, Clovis, CA 93619-8357 Ph: (559) 322-9734 |
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