| Larry Alan Hendricks, PA-C | |
|
520 Chautauqua Blvd, Valley City, ND 58072-3145 | |
| (701) 845-6000 | |
| (701) 845-6150 |
| Full Name | Larry Alan Hendricks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 36 Years |
| Location | 520 Chautauqua Blvd, Valley City, North Dakota |
| 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 |
|---|---|---|---|
| 1992723530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PAC0123 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford | Fargo, ND | Hospital |
| Chi Mercy Health | Valley city, ND | Hospital |
| Chi Oakes Hospital | Oakes, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Entity Name | Oakes Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477724433 PECOS PAC ID: 3678484722 Enrollment ID: O20041008001150 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Alan Hendricks, PA-C 520 Chautauqua Blvd, Valley City, ND 58072-3145 Ph: (701) 845-6000 | Larry Alan Hendricks, PA-C 520 Chautauqua Blvd, Valley City, ND 58072-3145 Ph: (701) 845-6000 |
Judy L Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 |
Krista Thielges Kjelland, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 |
Jessica Gower, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 |
Mark W Klabo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6400 Fax: 701-845-6466 |
Joan Lefor Stoltz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 Fax: 701-845-6150 |