Sandra Hendricks, MSSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Wisconsin. She graduated from healthcare school in 1992 and has 34 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lake City Counseling Llc and her current practice location is
1102 S Park St, Suite 400, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 282-8270.
Sandra Hendricks is licensed to practice in Wisconsin (license number 3456) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437515327.
Healthcare Provider's Profile
| Full Name | Sandra Hendricks |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 34 Years |
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| Location | 1102 S Park St, Madison, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sandra Hendricks graduated from medical school in 1992
NPI Data:
- NPI Number: 1437515327
- Provider Enumeration Date: 01/07/2016
- Last Update Date: 05/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 6901100924
- Enrollment ID: I20160211000092
Medical Identifiers
Medical identifiers for Sandra Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437515327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1111 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3456 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lake City Counseling Llc | 6103995477 | 4 |
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. Sandra Hendricks allows following entities to bill medicare on her behalf.
| Entity Name | Lake City Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679755987
PECOS PAC ID: 6103995477
Enrollment ID: O20080513000680 |
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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. Sandra 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 |
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Sandra Hendricks, MSSW
2802 Sommers Ave,
Madison, WI 53704-5719
Ph: () - | Sandra Hendricks, MSSW
1102 S Park St, Suite 400,
Madison, WI 53715-1708
Ph: (608) 282-8270 |
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