Mrs Mary Beth M Hendricks, DNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Greenville, South Carolina. Her current practice location is
701 Grove Rd Fl 5, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 455-4411.
Mrs Mary Beth M Hendricks is licensed to practice in South Carolina (license number 950) 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 1336194844.
Physician's Profile
Full Name | Mrs Mary Beth M Hendricks |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 701 Grove Rd Fl 5, Greenville, South Carolina |
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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: 1336194844
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 05/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305971409
- Enrollment ID: I20100315000623
Medical Identifiers
Medical identifiers for Mrs Mary Beth M Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336194844 | NPI | - | NPPES |
NP0058 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | APN950 (South Carolina) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 950 (South Carolina) | 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. Mrs Mary Beth M Hendricks allows following entities to bill medicare on her behalf.
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
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Entity Name | Doctors Care, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
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Entity Name | Woodruff Road Urgent Care Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598073496 PECOS PAC ID: 7911182084 Enrollment ID: O20110505000224 |
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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. Mrs Mary Beth M 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 |
Mrs Mary Beth M Hendricks, DNP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 455-4411 | Mrs Mary Beth M Hendricks, DNP 701 Grove Rd Fl 5, Greenville, SC 29605-4210 Ph: (864) 455-4411 |
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