Dr Abby P Hendricks, MD | |
2084 Ne Professional Ct, Bend, OR 97701-6077 | |
(541) 383-3005 | |
Not Available |
Full Name | Dr Abby P Hendricks |
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Gender | Female |
Speciality | Pediatrics |
Location | 2084 Ne Professional Ct, Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982048211 | NPI | - | NPPES |
500715604 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | MD175608 (Oregon) | Secondary |
208000000X | Pediatrics | MD175608 (Oregon) | Primary |
Entity Name | Mosaic Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371 |
Mailing Address | Practice Location Address |
---|---|
Dr Abby P Hendricks, MD 600 Sw Columbia St Ste 6210, Bend, OR 97702-1099 Ph: (541) 383-3005 | Dr Abby P Hendricks, MD 2084 Ne Professional Ct, Bend, OR 97701-6077 Ph: (541) 383-3005 |
Benjamin Bruno Barsotti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813 | |
Dr. Brenna Kathryn Lewis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813 | |
Mr. Stacy C. Berube, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Ne Professional Ct, Bend, OR 97701 Phone: 541-389-6313 Fax: 541-389-8760 | |
Dr. Kristi A Nix, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2084 Ne Professional Ct, Bend, OR 97701 Phone: 541-383-3005 Fax: 541-383-1883 | |
Scott Chambers Olson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Erika Stephanie Beard-irvine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Ne Revere Ave, Bend, OR 97701 Phone: 541-241-6371 Fax: 877-991-7408 | |
Dr. Michelle R Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-4900 |