Todd R Hendrickson, MD is a
Surgery physician based in Antigo, Wisconsin. Todd R Hendrickson is licensed to practice in Wisconsin (license number 26800) and his current practice location is 110 E 5th Ave, Antigo, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 623-2351.
NPI number for Todd R Hendrickson is 1508884834 and his current mailing address is 3000 Westhill Dr, Suite 303, Wausau, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508884834.
Physician's Profile
| Full Name | Todd R Hendrickson |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 110 E 5th Ave, Antigo, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508884834
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Todd R Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508884834 | NPI | - | NPPES |
| 30657300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 26800 (Wisconsin) | Primary |
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. Todd R Hendrickson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Todd R Hendrickson, MD
3000 Westhill Dr, Suite 303,
Wausau, WI 54401-3795
Ph: () - | Todd R Hendrickson, MD
110 E 5th Ave,
Antigo, WI 54409-2710
Ph: (715) 623-2351 |
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