De'rico Hendricks, CAA - Medicare Student in an Organized Health Care Education/Training Program in Orlando, FL

De'rico Hendricks, CAA is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Orlando, Florida. His current practice location is 7919 Courtleigh Dr, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (191) 651-2991.

De'rico Hendricks is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184350134.

Contact Information

De'rico Hendricks, CAA
7919 Courtleigh Dr,
Orlando, FL 32835-5930
(191) 651-2991
Not Available



Provider's Profile

Full NameDe'rico Hendricks
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location7919 Courtleigh Dr, Orlando, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184350134
  • Provider Enumeration Date: 07/30/2022
  • Last Update Date: 07/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406200922
  • Enrollment ID: I20231002001834

Medical Identifiers

Medical identifiers for De'rico Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184350134NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. De'rico Hendricks allows following entities to bill medicare on his behalf.
Entity NameWestern Anesthesiology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275646754
PECOS PAC ID: 6204720667
Enrollment ID: O20040226000438

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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. De'rico 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 AddressPractice Location Address
De'rico Hendricks, CAA
7919 Courtleigh Dr,
Orlando, FL 32835-5930

Ph: (191) 651-2991
De'rico Hendricks, CAA
7919 Courtleigh Dr,
Orlando, FL 32835-5930

Ph: (191) 651-2991

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