Todd Stephen Hendrickson, DO | |
203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 | |
(903) 541-5396 | |
(903) 541-5393 |
Full Name | Todd Stephen Hendrickson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 203 Nacogdoches St Ste 280, Jacksonville, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922599422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | S2991 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ut Health East Texas Jacksonville Hospital | Jacksonville, TX | Hospital |
Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Etmc Physician Group, Inc. | 4486915600 | 278 |
Entity Name | Etmc Physician Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
Mailing Address | Practice Location Address |
---|---|
Todd Stephen Hendrickson, DO 203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 Ph: (903) 541-5396 | Todd Stephen Hendrickson, DO 203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 Ph: (903) 541-5396 |
Dr. Kenya Sekoni Etim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5396 | |
Dr. Matthew Todd Proctor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Richard M Viken, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Craig C Weaver, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson, Jacksonville, TX 75766 Phone: 903-586-5678 | |
William Milawski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Dr. Ryan Dean Ford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4599 | |
Dr. Alison Collins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 |