| Daniel Hendricks, | |
|
4000 Miamisburg Centerville Rd Ste 207, Miamisburg, OH 45342-3674 | |
| (937) 560-2011 | |
| (937) 560-2012 |
| Full Name | Daniel Hendricks |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4000 Miamisburg Centerville Rd Ste 207, Miamisburg, Ohio |
| 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 |
|---|---|---|---|
| 1700386125 | NPI | - | NPPES |
| F11170189 | Other | OH | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.022092 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Greene Memorial Hospital | Xenia, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Premier Health Urgent Care, Inc. | 3870848088 | 35 |
| Entity Name | Alliance Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
| Entity Name | Metro Golden Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649329368 PECOS PAC ID: 7911917737 Enrollment ID: O20060424000681 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Entity Name | Premier Health Urgent Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134633761 PECOS PAC ID: 3870848088 Enrollment ID: O20180612000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Hendricks, 3170 Kettering Blvd Bldg B3, Moraine, OH 45439-1924 Ph: (937) 991-3186 | Daniel Hendricks, 4000 Miamisburg Centerville Rd Ste 207, Miamisburg, OH 45342-3674 Ph: (937) 560-2011 |
Mallory Michelle Michna, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2960 Ferndown Dr, Miamisburg, OH 45342 Phone: 937-886-5510 Fax: 937-813-2637 | |
Heather Anne Duehren, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549 | |
Sandra L Kimball, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Byers Rd, Suite 300, Miamisburg, OH 45342 Phone: 937-866-2494 Fax: 937-866-8494 | |
Mr. Seth T Kidwell, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-4000 Fax: 937-641-6492 | |
Sarah E Jacobs, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549 | |
Ms. Javona Alexander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Waterstone Blvd Apt 205, Miamisburg, OH 45342 Phone: 937-270-3405 | |
Kristine A Scordo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Miamisburg Centerville Rd, Suite 100, Miamisburg, OH 45342 Phone: 937-643-9939 Fax: 937-643-9949 |