Sandra Hendricks, MSSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Wisconsin. Her current practice location is
1102 S Park St, Suite 400, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 282-8270.
Sandra Hendricks is licensed to practice in Wisconsin (license number 3456) 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 1437515327.
Healthcare Provider's Profile
| Full Name | Sandra Hendricks |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1102 S Park St, Madison, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437515327
- Provider Enumeration Date: 01/07/2016
- Last Update Date: 05/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 6901100924
- Enrollment ID: I20160211000092
Medical Identifiers
Medical identifiers for Sandra Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437515327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1111 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3456 (Wisconsin) | 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 Hendricks allows following entities to bill medicare on her behalf.
| Entity Name | Lake City Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679755987
PECOS PAC ID: 6103995477
Enrollment ID: O20080513000680 |
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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 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 |
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Sandra Hendricks, MSSW
2802 Sommers Ave,
Madison, WI 53704-5719
Ph: () - | Sandra Hendricks, MSSW
1102 S Park St, Suite 400,
Madison, WI 53715-1708
Ph: (608) 282-8270 |
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