| Ricky Dale Hendrix, MD | |
|
201 4th St Ste 5a, Alexandria, LA 71301-8421 | |
| (318) 483-1961 | |
| (318) 483-1964 |
| Full Name | Ricky Dale Hendrix |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 201 4th St Ste 5a, Alexandria, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124021381 | NPI | - | NPPES |
| 1348732 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | MD.016338 (Louisiana) | Secondary |
| 174400000X | Specialist | MD.016338 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Louisiana Medical Center | Ruston, LA | Hospital |
| Winn Parish Medical Center | Winnfield, LA | Hospital |
| Glenwood Regional Medical Center | West monroe, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clhg-winn, Llc | 6002198736 | 17 |
| Entity Name | Lasalle Parish Hospital Service District #1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
| Entity Name | Northern Louisiana Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598995847 PECOS PAC ID: 9638246846 Enrollment ID: O20090903000029 |
| Entity Name | Winn Parish Nephrology, Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033292263 PECOS PAC ID: 7618165671 Enrollment ID: O20101217000711 |
| Entity Name | Clhg-winn, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629391628 PECOS PAC ID: 6002198736 Enrollment ID: O20190103000659 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Dale Hendrix, MD Po Box 1334, Winnfield, LA 71483-1334 Ph: (318) 628-5565 | Ricky Dale Hendrix, MD 201 4th St Ste 5a, Alexandria, LA 71301-8421 Ph: (318) 483-1961 |