| Gordon W Hendrickson, PA | |
|
528 Coffeen Ave, Sheridan, WY 82801-5312 | |
| (307) 683-7138 | |
| Not Available |
| Full Name | Gordon W Hendrickson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 528 Coffeen Ave, Sheridan, Wyoming |
| 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 |
|---|---|---|---|
| 1538877071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1447 (Wyoming) | Primary |
| 363A00000X | Physician Assistant | PA61369633 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kirkpatrick Family Care, Ps | 3375536436 | 13 |
| Entity Name | Kirkpatrick Family Care, PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447286646 PECOS PAC ID: 3375536436 Enrollment ID: O20040405001442 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191230002111 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon W Hendrickson, PA 528 Coffeen Ave, Sheridan, WY 82801-5312 Ph: (307) 683-7138 | Gordon W Hendrickson, PA 528 Coffeen Ave, Sheridan, WY 82801-5312 Ph: (307) 683-7138 |
Martha Ruth Swatt-robison, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Sheridan, WY 82801 Phone: 307-672-3473 |
Wendy Marie Ongaro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 207 E 5th St, Sheridan, WY 82801 Phone: 307-674-6995 Fax: 307-459-5908 |
Wendy Price, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1333 W 5th St Ste 103, Sheridan, WY 82801 Phone: 307-675-4610 Fax: 307-675-4615 |
Autumn P. Barrett, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1333 W 5th St Ste 112, Sheridan, WY 82801 Phone: 307-675-2650 Fax: 307-675-2651 |
Amy Nicole Ledoux, P.A.C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1662 S Sheridan Ave, Sheridan, WY 82801 Phone: 307-672-8941 Fax: 307-672-7461 |
Tanja Sloan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1333 W 5th St Ste 103, Sheridan, WY 82801 Phone: 307-675-4610 Fax: 307-675-4615 |
Valarie L Koval, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1333 W 5th St, Ste 206, Sheridan, WY 82801 Phone: 307-673-8383 |