| Steven R Hendricks, Do, Pc | |
|
44 Vesper Street Box 430 Beech Creek PA 16822-0430 | |
| (570) 962-2922 | |
| (570) 962-2944 |
| Full Name | Steven R Hendricks, Do, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 44 Vesper Street, Beech Creek, Pennsylvania |
| Authorized Official Name and Position | Steven R Hendricks (PRESIDENT) |
| Authorized Official Contact | 5709622922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R Hendricks, Do, Pc Po Box 430 44 Vesper Street Beech Creek PA 16822-0430 Ph: (570) 962-2922 | Steven R Hendricks, Do, Pc 44 Vesper Street Box 430 Beech Creek PA 16822-0430 Ph: (570) 962-2922 |
| NPI Number | 1902976327 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1557463460 |
|---|---|
| Medicare Enrollment ID | O20070223000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902976327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OS-007225-L (Pennsylvania) | Primary |
| Provider Name | Steven R Hendricks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851426449 PECOS PAC ID: 2365444940 Enrollment ID: I20070212000051 |
| Provider Name | Mackenzie Emel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669288536 PECOS PAC ID: 4789112400 Enrollment ID: I20250109000420 |