| Dr Sharon L Hendricks, DNP/ENP/FNP/AGACNP | |
|
1208 Luther Street, Eads, CO 81036 | |
| (719) 438-5401 | |
| Not Available |
| Full Name | Dr Sharon L Hendricks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1208 Luther Street, Eads, Colorado |
| 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 |
|---|---|---|---|
| 1316901390 | NPI | - | NPPES |
| 8HH136 | Other | MT | MEDICARE PTAN |
| MH1116373 | Other | CO | DEA |
| 22057331 | Medicaid | CO | |
| 8HH137 | Other | MT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 170012 (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 990110 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Mt San Rafael Hospital | Trinidad, CO | Hospital |
| Caribou Memorial Hospital | Soda springs, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innova Emergency Medical Associates Pc | 2860633435 | 59 |
| Tri-state Memorial Hospital | 4082502422 | 26 |
| Entity Name | Prowers County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821052929 PECOS PAC ID: 4486568508 Enrollment ID: O20031113000509 |
| Entity Name | Prowers County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821052929 PECOS PAC ID: 4486568508 Enrollment ID: O20070308000600 |
| Entity Name | Prowers County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821052929 PECOS PAC ID: 4486568508 Enrollment ID: O20090202000314 |
| Entity Name | Innova Emergency Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20130724000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sharon L Hendricks, DNP/ENP/FNP/AGACNP 800 W Pearl St, Lamar, CO 81052-3058 Ph: (719) 691-4979 | Dr Sharon L Hendricks, DNP/ENP/FNP/AGACNP 1208 Luther Street, Eads, CO 81036 Ph: (719) 438-5401 |
Rachel Bletzacker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 Luther St, Eads, CO 81036 Phone: 719-438-2251 Fax: 719-438-2254 | |
Michael Briggs Archer Sr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1208 Luther Street, Eads, CO 81036 Phone: 719-438-5401 |