Tracy Hendricks, MD in Jacksonville, IL - Medicare Family Practice

Tracy Hendricks, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1997 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Springfield Clinic, Llp and his current practice location is 610 N Westgate Ave, Jacksonville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 245-9931.

Tracy Hendricks is licensed to practice in Illinois (license number 036102545) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619993565.

Contact Information

	Tracy Hendricks, MD
	610 N Westgate Ave, Jacksonville, IL 62650-1152
	(217) 245-9931
	Not Available

Map and Direction

Physician's Profile

Full Name	Tracy Hendricks
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	610 N Westgate Ave, Jacksonville, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy Hendricks attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1997

NPI Data:

NPI Number: 1619993565
Provider Enumeration Date: 07/14/2006
Last Update Date: 05/22/2020

Medicare PECOS Information:

PECOS PAC ID: 3779476262
Enrollment ID: I20040220000437

Medical Identifiers

Medical identifiers for Tracy Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619993565	NPI	-	NPPES
036102545	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036102545 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Springfield Clinic, Llp	0547166076	655

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. Tracy Hendricks allows following entities to bill medicare on his behalf.

Entity Name	Springfield Clinic, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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. Tracy Hendricks 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
Tracy Hendricks, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541	Tracy Hendricks, MD 610 N Westgate Ave, Jacksonville, IL 62650-1152 Ph: (217) 245-9931

Reviews and Comments

Family Medicine Doctors in Jacksonville, IL

John L. Malcott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 Fax: 217-243-9030
Dr. John Andrew Peterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W State St, Jacksonville, IL 62650 Phone: 217-243-9471 Fax: 217-243-5359
Dr. Marshall T Hale, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165
Agnes A Wood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541
Dr. James Anthony Bohan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165
Mosam B Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541
Dr. Michelle Colen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln Ste 100, Jacksonville, IL 62650 Phone: 217-243-0300 Fax: 217-245-6775

Tracy Hendricks, MD - Medicare Family Practice in Jacksonville, IL