Charles E Hendricks (NPI# 1174551394, PAC ID# 7214979954) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1174551394 |
| PAC ID by PECOS | 7214979954 |
| Professional Enrollment ID | I20050524000308 |
| Full Name | Charles E Hendricks |
| Organization Legal Name | MOUNT DESERT ISLAND HOSPITAL |
| Address |
17 Hancock St Bar Harbor ME 04609-1714 |
| Phone Number | 2072885024 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0941250963 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201304 | MOUNT DESERT ISLAND HOSPITAL |
| 200050 | MAINE COAST MEMORIAL HOSPITAL |
| 200033 | EASTERN MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17 Hancock St, Bar Harbor, ME 04609-1714 | 2072885024 | MOUNT DESERT ISLAND HOSPITAL |
| Organization Legal Name | MOUNT DESERT ISLAND HOSPITAL |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Urbanek | Family Medicine | Mount Desert Island Hospital | 16 Community Ln, Southwest Harbor, ME 04679-4273 |
| Elizabeth Laverack | Internal Medicine | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Kathleen Olsen | Nurse Practitioner | Mount Desert Island Hospital | 322 Main St, Bar Harbor, ME 04609-1648 |
| Brenda J Beckett | Physician Assistant | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Kathleen M Kotas | Family Medicine | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Mark A Kandutsch | Family Medicine | Mount Desert Island Hospital | 322 Main St, Bar Harbor, ME 04609-1648 |
| Stuart L. Davidson | Orthopedic Surgery | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Richard J Unger | General Surgery | Mount Desert Island Hospital | 17 Hancock St, Bar Harbor, ME 04609-1714 |
| Rachael F Sharp | Certified Registered Nurse Anesthetist (crna) | Mount Desert Island Hospital | 322 Main St, Bar Harbor, ME 04609-1648 |
| Ralph A Erickson | Certified Registered Nurse Anesthetist (crna) | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Street Address |
17 HANCOCK ST |
| City | BAR HARBOR |
| State | ME |
| Zip | 04609-1714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J Unger | General Surgery | Mount Desert Island Hospital | 17 Hancock St, Bar Harbor, ME 04609-1714 |
| Brian J. Caine | Family Medicine | Mount Desert Island Hospital | 17 Hancock St, Bar Harbor, ME 04609-1714 |
| Katherine L Lawson | Nurse Practitioner | Mount Desert Island Hospital | 17 Hancock St, Bar Harbor, ME 04609-1714 |
| Aaron M Perme | General Surgery | Mount Desert Island Hospital | 17 Hancock St, Bar Harbor, ME 04609-1714 |
| Lael E Forbes | General Surgery | Mount Desert Island Hospital | 17 Hancock St, Bar Harbor, ME 04609-1714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Dalessandro | Clinical Social Worker | 77 Mount Desert St, Bar Harbor, ME 04609-1339 | |
| Oleg I Reznik | Family Medicine | St Joseph Hospital | 600 Main St, Bldg 11, Bar Harbor, ME 04609-1522 |
| Elizabeth Laverack | Internal Medicine | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Brenda J Beckett | Physician Assistant | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Kathleen M Kotas | Family Medicine | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Stuart L. Davidson | Orthopedic Surgery | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Ralph A Erickson | Certified Registered Nurse Anesthetist (crna) | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Bartholomew R Clayton | Hospitalist | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Alexandra N Kane | Physician Assistant | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Julius R Krevans Jr. | Internal Medicine | Mount Desert Island Hospital | 10 Wayman Ln, Bar Harbor, ME 04609-1625 |
| Find all physicians in zip 04609 | |||
| City | BAR HARBOR |
| Zip Code | 04609 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BAR HARBOR + GENERAL SURGERY |
Please comment or provide details below to improve the information on Charles E 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.