Amanda Hendricks, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Georgia. Her current practice location is
743 Spring St Ne, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 219-9000.
Amanda Hendricks is licensed to practice in * (Not Available) (license number ) 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 1982354551.
Physician's Profile
Full Name | Amanda Hendricks |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 743 Spring St Ne, Gainesville, Georgia |
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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: 1982354551
- Provider Enumeration Date: 03/26/2022
- Last Update Date: 05/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890175285
- Enrollment ID: I20220701000305
Medical Identifiers
Medical identifiers for Amanda Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982354551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 100042 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Amanda 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 |
Amanda Hendricks, 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: () - | Amanda Hendricks, 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 219-9000 |
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