Andrew A Hendricks (NPI# 1740246115, PAC ID# 3870516800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1740246115 |
| PAC ID by PECOS | 3870516800 |
| Professional Enrollment ID | I20060105000348 |
| Full Name | Andrew A Hendricks |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGICAL CLINIC PA |
| Address |
4390 Fayetteville Rd Lumberton NC 28358-2677 |
| Phone Number | 9107387154 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6305869348 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 9107387154 | SOUTHEASTERN DERMATOLOGICAL CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGICAL CLINIC PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany A Clowers | Physician Assistant | Southeastern Dermatological Clinic Pa | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Crystal C Edwards | Physician Assistant | Southeastern Dermatological Clinic Pa | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Street Address |
4390 FAYETTEVILLE RD |
| City | LUMBERTON |
| State | NC |
| Zip | 28358-2677 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany A Clowers | Physician Assistant | Southeastern Dermatological Clinic Pa | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Crystal C Edwards | Physician Assistant | Southeastern Dermatological Clinic Pa | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Allen | Orthopedic Surgery | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Bonnie W Skiadiotis | Nurse Practitioner | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Chris Evan Estrellado | Physical Therapy | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| James W Dove | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Mary Elizabeth Devine | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Kenneth C Madlangbayan | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| James R Pope Jr. | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Holly H Metzerott | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Jianfeng Zeng | Neurology | 4850 Fayetteville Rd E, Lumberton, NC 28358-2100 | |
| Tonna M Wyatt | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Find all physicians in zip 28358 | |||
| City | LUMBERTON |
| Zip Code | 28358 |
| Specialty | DERMATOLOGY |
| City + Specialty | LUMBERTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Andrew A Hendricks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.