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Jeanne M Hendricks

  • Female

Medical Specialty

Professional ID

  • NPI: 1528047453
  • PECOS ID: 6507816428
  • Enrollment ID: I20050128000215
  • Credential(MD, DO, DPM): CNA
  • Medical School:
  • Medical School Graduation Year: 1993

Hospital Service

  • Hospital CCN1: 240196
  • Business Name (LBN)1: Phillips Eye Institute
  • Hospital CCN2: 240053
  • Business Name (LBN)2: Park Nicollet Methodist Hospital

Medical Practices

  • Organization Name: Park Nicollet Methodist Hospital
  • Group Practice ID assigned by PECOS: 7315840063
  • Number of Group Practice member: 77

Location

Medical Practices

  • Organization Name: Nurse Anesthesia Services Pa
  • Group Practice ID assigned by PECOS: 8628973435
  • Number of Group Practice member: 28

Location

  • Address1: 4050 Coon Rapids Nwblvd
  • Address2:
  • City: Coon Rapids
  • State: Minnesota
  • Zip Code: 55433
  • Phone Number: (763)236-6000

Medicare

  • Medicare Assignment: Maybe
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):