Tracy Hendricks, MD - Medicare Family Practice in Jacksonville, IL

Tracy Hendricks, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Springfield Clinic Llp and his current practice location is 610 N Westgate Ave, Jacksonville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 245-9931.

Tracy Hendricks is licensed to practice in Illinois (license number 036102545) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619993565.

Contact Information

Tracy Hendricks, MD
610 N Westgate Ave,
Jacksonville, IL 62650-1152
(217) 245-9931
Not Available

Map and Direction




Physician's Profile

Full NameTracy Hendricks
GenderMale
SpecialityFamily Practice
Experience27 Years
Location610 N Westgate Ave, Jacksonville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tracy Hendricks attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1997
  NPI Data:
  • NPI Number: 1619993565
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 05/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3779476262
  • Enrollment ID: I20040220000437

Medical Identifiers

Medical identifiers for Tracy Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619993565NPI-NPPES
036102545MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036102545 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic Llp0547166076673

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. Tracy Hendricks allows following entities to bill medicare on his behalf.
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826

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. Tracy 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 AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Jacksonville, IL

Dr. Benjamin E. Montgomery, M.D.
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John L. Malcott, M.D.
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Dr. John Andrew Peterson, M.D.
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Dr. Marshall T Hale, M.D.
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Phone: 217-243-7200    Fax: 217-243-6165
Agnes A Wood, M.D.
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Dr. James Anthony Bohan, M.D.
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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.
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Medicare: Accepting Medicare Assignments
Practice Location: 15 Founders Ln, Jacksonville, IL 62650
Phone: 217-528-7541    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.