| Dr John L Hendrickson, MD | |
|
3300 Rivermont Ave, Lynchburg, VA 24503-2030 | |
| (434) 200-5999 | |
| Not Available |
| Full Name | Dr John L Hendrickson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 3300 Rivermont Ave, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699775593 | NPI | - | NPPES |
| O87204 | Other | SENTARA/OPTIMA PROVIDER N | |
| 186463 | Other | ANTHEM PROVIDER NUMBER | |
| 203639329001 | Other | TRICARE PROVIDER NUMBER | |
| 2016147 | Other | CIGNA BEHAVIOR PROVIDER N | |
| 132551 | Other | VALUE OPTIONS PROVIDER NU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 0101053066 (Virginia) | Primary |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John L Hendrickson, MD 1204 Fenwick Dr, Lynchburg, VA 24502-2112 Ph: () - | Dr John L Hendrickson, MD 3300 Rivermont Ave, Lynchburg, VA 24503-2030 Ph: (434) 200-5999 |
Dr. Kenneth Lee Crosby Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-5047 | |
Dr. Daryl H Yoder, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeside Dr, Lynchburg, VA 24501 Phone: 434-316-5000 Fax: 434-316-7071 | |
Margaret Bettin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2811 Linkhorne Dr, Lynchburg, VA 24503 Phone: 434-200-3600 Fax: 434-384-3406 | |
Dr. Veronica J Matthews, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 66 Timberoak Ct, Lynchburg, VA 24502 Phone: 434-237-6236 Fax: 434-237-9951 | |
Jitendra Annapareddy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-5999 | |
Ashwini Sakinala, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-5999 Fax: 434-200-1673 | |
Dr. Tiffany Kuulei Niide, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2010 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-200-5470 |