| Michael Kyle Hendricks, PA-C | |
|
309 Jackson St, Monroe, LA 71201-7407 | |
| (318) 966-2397 | |
| Not Available |
| Full Name | Michael Kyle Hendricks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 309 Jackson St, Monroe, Louisiana |
| 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 |
|---|---|---|---|
| 1205196805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 225200000X | Physical Therapy Assistant | (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmol Health St Francis | Monroe, LA | Hospital |
| Northern Louisiana Medical Center | Ruston, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Clinic Llc | 4789668831 | 29 |
| Radiology Associates Llc | 8628041464 | 83 |
| Entity Name | Green Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831178755 PECOS PAC ID: 4789668831 Enrollment ID: O20040616000177 |
| Entity Name | Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347771 PECOS PAC ID: 8628041464 Enrollment ID: O20040818001156 |
| Entity Name | Monroe Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386235331 PECOS PAC ID: 8820405079 Enrollment ID: O20210406000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kyle Hendricks, PA-C 204 Knoll Creek Cir, West Monroe, LA 71291-4773 Ph: (318) 366-4367 | Michael Kyle Hendricks, PA-C 309 Jackson St, Monroe, LA 71201-7407 Ph: (318) 966-2397 |
Mr. Jonathan D Brewer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648 |
Marquis Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 |
Mr. Jeb Andrews, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2509 Broadmoor Blvd, Ste B, Monroe, LA 71201 Phone: 878-381-3823 |
Shannon Kathleen Chappell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 |
Erin N Cantu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2804 Forsythe Ave, Monroe, LA 71201 Phone: 318-388-0033 |
Miss Logan Jannell Rhodes, Physician Assistant Medicare: Medicare Enrolled Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4000 |
Terry Roger Wilson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Oliver Rd, Monroe, LA 71201 Phone: 318-812-7559 Fax: 318-812-7563 |