Mr Jack Ernest Hendrickson, LPN - Licensed Practical Nurse in Ft Wainwright, AK

Mr Jack Ernest Hendrickson, LPN is a Licensed Practical Nurse based in Ft Wainwright, Alaska. Mr Jack Ernest Hendrickson is licensed to practice in Alaska (license number 4735) and his current practice location is 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn; Mcuc-mmd-qm, Ft Wainwright, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 353-1207.

NPI number for Mr Jack Ernest Hendrickson is 1134191455 and his current mailing address is 2005 Jack St, Fairbanks, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134191455.

Contact Information

Mr Jack Ernest Hendrickson, LPN
1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn; Mcuc-mmd-qm,
Ft Wainwright, AK 99703-5001
(907) 353-1207
Not Available



Provider's Profile

Full NameMr Jack Ernest Hendrickson
GenderMale
SpecialityLicensed Practical Nurse
Location1060 Gaffney Rd, Ft Wainwright, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134191455
  • Provider Enumeration Date: 02/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jack Ernest Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134191455NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 4735 (Alaska)Primary

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. Mr Jack Ernest Hendrickson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jack Ernest Hendrickson, LPN
2005 Jack St,
Fairbanks, AK 99709-4113

Ph: (907) 451-9414
Mr Jack Ernest Hendrickson, LPN
1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn; Mcuc-mmd-qm,
Ft Wainwright, AK 99703-5001

Ph: (907) 353-1207

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› Verified 3 days ago


Licensed Practical Nurse Nurses in Ft Wainwright, AK

Wilma June Ison, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845
Mrs. Dawn Lynee Mckendrick, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845
Deniece Lee Wazny, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak,attn:mcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-4107    
Glenn Parker,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845
William Bryant,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845
Ms. Brenda Bonita Webber, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak-mmcuc-mmd-qm, Ft Wainwright, AK 99703
Phone: 907-353-5418    Fax: 907-353-4845

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