| Dr Lisa C Hendricks, MD | |
|
1713 Hwy 441 N, Ste F, Okeechobee, FL 34972 | |
| (863) 763-8000 | |
| (863) 763-8212 |
| Full Name | Dr Lisa C Hendricks |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 1713 Hwy 441 N, Okeechobee, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932170263 | NPI | - | NPPES |
| 200148850 | Medicaid | IN | |
| 000000371648 | Other | IN | ANTHEM |
| P00313457 | Other | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01046928A (Indiana) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | ME144643 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Collier Hma Physician Management Llc | 2769495167 | 94 |
| Entity Name | Collier Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245282979 PECOS PAC ID: 2769495167 Enrollment ID: O20060802000264 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa C Hendricks, MD 1713 Hwy 441 N, Ste F, Okeechobee, FL 34972 Ph: (863) 763-8000 | Dr Lisa C Hendricks, MD 1713 Hwy 441 N, Ste F, Okeechobee, FL 34972 Ph: (863) 763-8000 |
Melissa L Markham, PA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1713 Hwy 441 N, Ste F, Okeechobee, FL 34972 Phone: 863-763-8000 Fax: 863-763-8212 | |
Dr. Trinidad Espiritu Garcia, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 306 Ne 19th Drive, Okeechobee, FL 34972 Phone: 863-763-6427 Fax: 863-763-0098 | |
James Bradfield, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1713 Highway 441 N, Suite F, Okeechobee, FL 34972 Phone: 863-763-8000 Fax: 863-763-8212 |