Kathleen Marie Hendricks, APN in Peoria, IL - Medicare Nurse Practitioner

Kathleen Marie Hendricks, APN is a medicare enrolled "Nurse Practitioner" in Peoria, Illinois. Her current practice location is 2809 W Willow Knolls Dr, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 692-6604.

Kathleen Marie Hendricks is licensed to practice in Illinois (license number 209017970) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205312790.

Contact Information

	Kathleen Marie Hendricks, APN
	2809 W Willow Knolls Dr, Peoria, IL 61614
	(309) 692-6604
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Marie Hendricks
Gender	Female
Speciality	Nurse Practitioner
Location	2809 W Willow Knolls Dr, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205312790
Provider Enumeration Date: 07/17/2018
Last Update Date: 11/09/2018

Medicare PECOS Information:

PECOS PAC ID: 8022361237
Enrollment ID: I20181105001339

Medical Identifiers

Medical identifiers for Kathleen Marie Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205312790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	041.415297 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209017970 (Illinois)	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. Kathleen Marie Hendricks allows following entities to bill medicare on her behalf.

Entity Name	Ottawa Regional Hospital & Healthcare Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Kathleen Marie 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
Kathleen Marie Hendricks, APN 2809 W Willow Knolls Dr, Peoria, IL 61614-8517 Ph: (309) 692-6604	Kathleen Marie Hendricks, APN 2809 W Willow Knolls Dr, Peoria, IL 61614 Ph: (309) 692-6604

Reviews and Comments

Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537 Phone: 309-624-8818
Faye Yetton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2015 W Austin Dr, Peoria, IL 61614 Phone: 309-256-0632
Linda Schmidgall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603 Phone: 309-624-5100 Fax: 309-624-5569
Sandra L. Peach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2343 Fax: 309-655-3948
Roxanne Mclaughlin, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2974
Brittany N Hemmele, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N State Route 91, Peoria, IL 61615 Phone: 309-683-5050 Fax: 309-683-5335

Kathleen Marie Hendricks, APN - Medicare Nurse Practitioner in Peoria, IL