Tracy Hendricks, MD | |
610 N Westgate Ave, Jacksonville, IL 62650-1152 | |
(217) 245-9931 | |
Not Available |
Full Name | Tracy Hendricks |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 610 N Westgate Ave, Jacksonville, Illinois |
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 |
---|---|---|---|
1619993565 | NPI | - | NPPES |
036102545 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036102545 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Tracy Hendricks, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Tracy Hendricks, MD 610 N Westgate Ave, Jacksonville, IL 62650-1152 Ph: (217) 245-9931 |
Dr. Benjamin E. Montgomery, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1606 W Lafayette Ave Ste D, Jacksonville, IL 62650 Phone: 217-479-0290 | |
John L. Malcott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 Fax: 217-243-9030 | |
Dr. John Andrew Peterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W State St, Jacksonville, IL 62650 Phone: 217-243-9471 Fax: 217-243-5359 | |
Dr. Marshall T Hale, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Agnes A Wood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. James Anthony Bohan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Mosam B Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541 |