Dr Roman Michael Hendrickson Sr, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Sheridan, Montana. His current practice location is
210 E Crofoot St, Sheridan, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 842-5056.
Dr Roman Michael Hendrickson Sr is licensed to practice in Montana (license number 9867) 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 1205823135.
Physician's Profile
| Full Name | Dr Roman Michael Hendrickson Sr |
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| Gender | Male |
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| Speciality | Family Medicine - Geriatric Medicine |
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| Location | 210 E Crofoot St, Sheridan, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205823135
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 08/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 7719884154
- Enrollment ID: I20031215000718
Medical Identifiers
Medical identifiers for Dr Roman Michael Hendrickson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205823135 | NPI | - | NPPES |
| 00554470 | Medicaid | MT | |
| 94575 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 9867 (Montana) | 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. Dr Roman Michael Hendrickson Sr allows following entities to bill medicare on his behalf.
| Entity Name | Ruby Valley Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174668164
PECOS PAC ID: 6406764018
Enrollment ID: O20031208000631 |
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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. Dr Roman Michael Hendrickson Sr 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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Dr Roman Michael Hendrickson Sr, MD
18 7m4r Rd,
Sheridan, MT 59749-9500
Ph: (406) 842-7581 | Dr Roman Michael Hendrickson Sr, MD
210 E Crofoot St,
Sheridan, MT 59749
Ph: (406) 842-5056 |
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