Mikenzie Hendricks, PA-C is a medicare enrolled "Physician Assistant" in Kamas, Utah. Her current practice location is
228 W 200 S, Kamas, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 783-4385.
Mikenzie Hendricks is licensed to practice in Utah (license number 13416827-1206) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255197018.
Provider's Profile
| Full Name | Mikenzie Hendricks |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 228 W 200 S, Kamas, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255197018
- Provider Enumeration Date: 02/27/2024
- Last Update Date: 03/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 4284173246
- Enrollment ID: I20240822002282
Medical Identifiers
Medical identifiers for Mikenzie Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255197018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 13416827-1206 (Utah) | Primary |
| 207Q00000X | Family Medicine | 13416827-1206 (Utah) | Secondary |
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. Mikenzie 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 |
Mikenzie Hendricks, PA-C 948 W Vahe St, Draper, UT 84020-8416 Ph: (801) 859-5939 | Mikenzie Hendricks, PA-C 228 W 200 S, Kamas, UT 84036-9010 Ph: (435) 783-4385 |
Reviews and Comments