| Ellen Michelle Hendricks, APN | |
|
915 W Chestnut St, Mason City, IL 62664-9708 | |
| (309) 638-2427 | |
| Not Available |
| Full Name | Ellen Michelle Hendricks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 915 W Chestnut St, Mason City, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538708086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209020506 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Home Health-western Region | Galesburg, IL | Home health agency |
| Western Ill Home Hlth Care In | Monmouth, IL | Home health agency |
| St Mary Medical Center | Galesburg, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Osf Holy Family Medical Center | Monmouth, IL | Hospital |
| Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Mary Medical Center | 8628038015 | 53 |
| Entity Name | St Mary Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| 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 |