| Todd Stephen Hendrickson, DO | |
|
2875 S Decker Lake Dr Ste 300, Salt Lake City, UT 84119-2382 | |
| (801) 261-3003 | |
| Not Available |
| Full Name | Todd Stephen Hendrickson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 2875 S Decker Lake Dr Ste 300, Salt Lake City, Utah |
| 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 |
|---|---|---|---|
| 1922599422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | S2991 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Home Health Services | Athens, TX | Home health agency |
| Ut Health East Texas Jacksonville Hospital | Jacksonville, TX | Hospital |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 373 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Stephen Hendrickson, DO 285 Heritage Way, Bullard, TX 75757-0059 Ph: () - | Todd Stephen Hendrickson, DO 2875 S Decker Lake Dr Ste 300, Salt Lake City, UT 84119-2382 Ph: (801) 261-3003 |
Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197 | |
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400 | |
Peter Thompson Weir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382 | |
Amy Noel De La Garza, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741 | |
Natasha Greene, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1250 E 3900 S Ste 260, Salt Lake City, UT 84124 Phone: 801-265-2000 | |
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Wesley J. Lewis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121 Phone: 801-365-1032 Fax: 801-365-1033 |