Edyth Z Hendricks, PA - Medicare Physician Assistant in Surprise, AZ

  1. Home
  2. Physician Assistant
  3. AZ
  4. Surprise
Edyth Z Hendricks, PA is a medicare enrolled "Physician Assistant" in Surprise, Arizona. Her current practice location is 14780 W. Mountain View Blvd., Suite 110, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 374-7774.

Edyth Z Hendricks is licensed to practice in Arizona (license number 31-88) 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 1710076112.

Contact Information

Edyth Z Hendricks, PA
14780 W. Mountain View Blvd., Suite 110,
Surprise, AZ 85374-7280
(623) 374-7774
Not Available

Map and Direction




Provider's Profile

Full NameEdyth Z Hendricks
GenderFemale
SpecialityPhysician Assistant
Location14780 W. Mountain View Blvd., Surprise, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710076112
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 07/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1254306152
  • Enrollment ID: I20070222000627

Medical Identifiers

Medical identifiers for Edyth Z Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710076112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3188 (Arizona)Secondary
363A00000XPhysician Assistant 31-88 (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. Edyth Z Hendricks allows following entities to bill medicare on her behalf.
Entity NameHorizon Health and Wellness, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659308989
PECOS PAC ID: 6406759711
Enrollment ID: O20040202000450
Entity NameConnectionsaz LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083840953
PECOS PAC ID: 3072858745
Enrollment ID: O20181227002230

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. Edyth Z 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 AddressPractice Location Address
Edyth Z Hendricks, PA
14780 W. Mountain View Blvd., Suite 110,
Phoenix, AZ 85374-7280

Ph: (480) 415-1534		Edyth Z Hendricks, PA
14780 W. Mountain View Blvd., Suite 110,
Surprise, AZ 85374-7280

Ph: (623) 374-7774

Reviews and Comments


Physician Assistant Nurses in Surprise, AZ

Elizabeth Frances Williams, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374
Phone: 623-374-7774    Fax: 623-796-5302
Melinda Gutierrez, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 15571 N Reems Rd, Surprise, AZ 85374
Phone: 623-544-6932    Fax: 623-321-1070
Jamie Brockman, PAC
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374
Phone: 623-544-6860    Fax: 623-544-6861
Ms. Lorie Weber, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374
Phone: 623-374-7774    Fax: 877-796-5302
Reyna Martin,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 16928 W Bell Rd Ste 701, Surprise, AZ 85374
Phone: 623-850-0026    Fax: 623-850-0027
Lauren Fuller,
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 14725 W Mountain View Blvd, Surprise, AZ 85374
Phone: 623-243-9077    
Despina Lozevski, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 16815 W Bell Rd, Surprise, AZ 85374
Phone: 623-244-2400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.