Spencer Scott Hendricks, PMHNP | |
2330 Eastgate St Ste 105, Walla Walla, WA 99362-1559 | |
(509) 973-5788 | |
Not Available |
Full Name | Spencer Scott Hendricks |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 2 Years |
Location | 2330 Eastgate St Ste 105, Walla Walla, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932830338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP.AP.61327112-NP (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Washington Pllc | 2264320837 | 49 |
Entity Name | Privia Medical Group Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
Entity Name | Blue Mountain Health Cooperative |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245839919 PECOS PAC ID: 6406251925 Enrollment ID: O20210823000335 |
Mailing Address | Practice Location Address |
---|---|
Spencer Scott Hendricks, PMHNP 605 Sycamore St, Walla Walla, WA 99362-3656 Ph: (425) 770-5139 | Spencer Scott Hendricks, PMHNP 2330 Eastgate St Ste 105, Walla Walla, WA 99362-1559 Ph: (509) 973-5788 |
Patrick R Smart, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Poplar St, Sleep Medicine Center, Walla Walla, WA 99362 Phone: 509-522-5946 Fax: 509-522-5527 | |
Delila C Ojeda, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010 | |
Hyunjin Eo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 S 2nd Ave Ste 1, Walla Walla, WA 99362 Phone: 509-398-9699 | |
Ms. Leikin Louise Patrick, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-3333 | |
Emily Grace Castillo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Mary Buriani, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-527-8151 Fax: 509-527-8010 | |
Susan D Collins, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010 |