Mrs Stephanie Kay Hendricks, is a medicare enrolled "Physician Assistant" in Newton, Utah. Her current practice location is
6520 N Hwy 23, Newton, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 890-0369.
Mrs Stephanie Kay Hendricks is licensed to practice in Utah (license number 11899073-1206) 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 1558983791.
Provider's Profile
| Full Name | Mrs Stephanie Kay Hendricks |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 6520 N Hwy 23, Newton, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1558983791
- Provider Enumeration Date: 05/11/2020
- Last Update Date: 12/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052724580
- Enrollment ID: I20201230001603
Medical Identifiers
Medical identifiers for Mrs Stephanie Kay Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558983791 | NPI | - | NPPES |
| 11899073-1206 | Other | UT | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA-1976 (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 11899073-1206 (Utah) | 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. Mrs Stephanie Kay 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 |
|---|
Mrs Stephanie Kay Hendricks,
740 S Woodruff Ave,
Idaho Falls, ID 83401-5285
Ph: (208) 542-9111 | Mrs Stephanie Kay Hendricks,
6520 N Hwy 23,
Newton, UT 84327
Ph: (435) 890-0369 |
Reviews and Comments