Dominique S Hendricks, is a
Licensed Practical Nurse based in Anmoore, West Virginia. Dominique S Hendricks is licensed to practice in West Virginia (license number 40469) and her current practice location is
67 Casino Drive, Anmoore, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 622-1684.
NPI number for Dominique S Hendricks is 1083490031 and her current mailing address is Po Box 315, Anmoore, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083490031.
Provider's Profile
| Full Name | Dominique S Hendricks |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 67 Casino Drive, Anmoore, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083490031
- Provider Enumeration Date: 09/06/2023
- Last Update Date: 09/06/2023
Medical Identifiers
Medical identifiers for Dominique S Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083490031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 40469 (West Virginia) | Primary |
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. Dominique S Hendricks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dominique S Hendricks,
Po Box 315,
Anmoore, WV 26323-0315
Ph: () - | Dominique S Hendricks,
67 Casino Drive,
Anmoore, WV 26323
Ph: (304) 622-1684 |
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