Danielle Marin Hendrickson, FNP in Mesa, AZ - Medicare Nurse Practitioner

Danielle Marin Hendrickson, FNP is a medicare enrolled "Nurse Practitioner" in Mesa, Arizona. Her current practice location is 1303 S Longmore, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 649-5297.

Danielle Marin Hendrickson is licensed to practice in Arizona (license number 227957) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003683723.

Contact Information

	Danielle Marin Hendrickson, FNP
	1303 S Longmore, Mesa, AZ 85202-9607
	(480) 649-5297
	Not Available

Map and Direction

Provider's Profile

Full Name	Danielle Marin Hendrickson
Gender	Female
Speciality	Nurse Practitioner
Location	1303 S Longmore, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003683723
Provider Enumeration Date: 12/04/2023
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 7416391776
Enrollment ID: I20240215000354

Medical Identifiers

Medical identifiers for Danielle Marin Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003683723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	227957 (Arizona)	Primary

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. Danielle Marin Hendrickson allows following entities to bill medicare on her behalf.

Entity Name	Fiesta Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518382787 PECOS PAC ID: 5294031068 Enrollment ID: O20160304001824

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. Danielle Marin Hendrickson 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
Danielle Marin Hendrickson, FNP 22938 E Silver Creek Ln, Queen Creek, AZ 85142-4548 Ph: (970) 391-9281	Danielle Marin Hendrickson, FNP 1303 S Longmore, Mesa, AZ 85202-9607 Ph: (480) 649-5297

Reviews and Comments

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Danielle Marin Hendrickson, FNP - Medicare Nurse Practitioner in Mesa, AZ