Ellen Michelle Hendricks, APN is a medicare enrolled "Nurse Practitioner - Family" in Mason City, Illinois. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Mary Medical Center and her current practice location is
915 W Chestnut St, Mason City, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 638-2427.
Ellen Michelle Hendricks is licensed to practice in Illinois (license number 209020506) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538708086.
Provider's Profile
| Full Name | Ellen Michelle Hendricks |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 915 W Chestnut St, Mason City, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ellen Michelle Hendricks graduated from nursing school in 2019
NPI Data:
- NPI Number: 1538708086
- Provider Enumeration Date: 01/02/2020
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759717176
- Enrollment ID: I20200204000265
Medical Identifiers
Medical identifiers for Ellen Michelle Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538708086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209020506 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Mary Medical Center | 8628038015 | 46 |
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. Ellen Michelle Hendricks allows following entities to bill medicare on her behalf.
| Entity Name | St Mary Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
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| Entity Name | Osf Healthcare System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
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| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Ellen Michelle 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 |
Ellen Michelle Hendricks, APN 915 W Chestnut St, Mason City, IL 62664-9708 Ph: (309) 638-2427 | Ellen Michelle Hendricks, APN 915 W Chestnut St, Mason City, IL 62664-9708 Ph: (309) 638-2427 |
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