DE'RICO HENDRICKS CAA
NPI 1184350134
Student in an Organized Health Care Education/Training Program in Orlando, FL
NPI Status: Active since July 30, 2022
Contact Information
7919 COURTLEIGH DR
ORLANDO, FL
ZIP 32835
Phone: (191) 651-2991
- Individual
- Male
- Years of Experience 3
- Student in an Organized Health Care Educ...
- Accepts Medicare Approved Payment
About DE'RICO HENDRICKS
This page provides the complete NPI Profile along with additional information for De'rico Hendricks, a primary care provider established in Orlando, Florida with a medical specialization in Student In An Organized Health Care Education/training Program and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1184350134 assigned on July 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1184350134
- Provider Name
- DE'RICO HENDRICKS CAA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7919 COURTLEIGH DR ORLANDO, FL 32835
- Location Phone
- (191) 651-2991
- Mailing Address
- 7919 COURTLEIGH DR ORLANDO, FL 32835
- Mailing Phone
- (191) 651-2991
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-30-2022
- Last Update Date
- 07-30-2022
- Code Navigator
A primary care provider (PCP) like De'rico Hendricks sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers | Anesthesiologist Assistant |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
De'rico Hendricks is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6406200922
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231026004181
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. De'rico Hendricks is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST ORLANDO, FL 32803 | (407) 303-1976 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 3 | 5 | 0 | 1 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 6 | 5 | 0 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 6 + 5 + 0 + 1 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1184350134 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184350134, enumerated in the NPI registry as an "individual" on July 30, 2022
The provider is located at 7919 Courtleigh Dr Orlando, Fl 32835 and the phone number is (191) 651-2991
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
The provider has more than 3 years of experience.
The practitioner is affiliated to the following hospital(s): ADVENTHEALTH ORLANDO. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 30, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.