De'rico Hendricks, CAA is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Orlando, Florida. His current practice location is
7919 Courtleigh Dr, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(191) 651-2991.
De'rico Hendricks is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184350134.
Provider's Profile
| Full Name | De'rico Hendricks |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 7919 Courtleigh Dr, Orlando, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1184350134
- Provider Enumeration Date: 07/30/2022
- Last Update Date: 07/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406200922
- Enrollment ID: I20231002001834
Medical Identifiers
Medical identifiers for De'rico Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184350134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. De'rico Hendricks allows following entities to bill medicare on his behalf.
| Entity Name | Western Anesthesiology Associates Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275646754
PECOS PAC ID: 6204720667
Enrollment ID: O20040226000438 |
|---|
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. De'rico 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 |
|---|
De'rico Hendricks, CAA
7919 Courtleigh Dr,
Orlando, FL 32835-5930
Ph: (191) 651-2991 | De'rico Hendricks, CAA
7919 Courtleigh Dr,
Orlando, FL 32835-5930
Ph: (191) 651-2991 |
Reviews and Comments