Kenneth Herrick, NP in Hesperia, CA - Medicare Nurse Practitioner

Kenneth Herrick, NP is a medicare enrolled "Nurse Practitioner" in Hesperia, California. His current practice location is 17043 Main St, Hesperia, California. You can reach out to his office (for appointments etc.) via phone at (760) 241-6666.

Kenneth Herrick is licensed to practice in California (license number 95008084) 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 1629576244.

Contact Information

	Kenneth Herrick, NP
	17043 Main St, Hesperia, CA 92345-6055
	(760) 241-6666
	(760) 243-2099

Map and Direction

Provider's Profile

Full Name	Kenneth Herrick
Gender	Male
Speciality	Nurse Practitioner
Location	17043 Main St, Hesperia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629576244
Provider Enumeration Date: 01/29/2018
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3971864125
Enrollment ID: I20180302001425

Medical Identifiers

Medical identifiers for Kenneth Herrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629576244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95008084 (California)	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. Kenneth Herrick allows following entities to bill medicare on his behalf.

Entity Name	San Bernardino County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Kenneth Herrick 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
Kenneth Herrick, NP 12550 Hesperia Rd # 101, Victorville, CA 92395-5873 Ph: (760) 381-7703	Kenneth Herrick, NP 17043 Main St, Hesperia, CA 92345-6055 Ph: (760) 241-6666

Reviews and Comments

Nurse Practitioner Nurses in Hesperia, CA

Lauretta Karolczak, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St, Hesperia, CA 92345 Phone: 760-947-8231
Halima Zainab, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15791 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-949-1231 Fax: 877-738-3841
Richard D. Norton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St Ste 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673
Edgar Benitez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9032 Seal Beach Dr, Hesperia, CA 92344 Phone: 909-615-6156
Albert Lamont Springer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16455 Main Street, Suite 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673
Irina M Jovel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16455 Main St, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673
Maria Tuya, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St Ste B, Hesperia, CA 92345 Phone: 760-949-4118 Fax: 760-949-0987

Kenneth Herrick, NP - Medicare Nurse Practitioner in Hesperia, CA