Jennie G Hendrie
M.D. | Pediatrics | Female
Jennie G Hendrie, M.D. is a Bonney Lake, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jennie G Hendrie is
10004 204th Ave E, Suite 1300, Bonney Lake, Washington - 98391-6535. She can be contacted on phone at
253-848-8797 and fax number 253-826-1264.
Jennie G Hendrie is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennie G Hendrie is
1013995976 which was assigned by NPPES on 02 Jan, 2006 and it was last updated on 14 Nov, 2011.
Jennie G Hendrie license number is
MD00036248 for Pediatrics (208000000X) in Washington.
Jennie G Hendrie is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennie G Hendrie basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jennie G Hendrie |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Jennie G Hendrie address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10004 204th Ave E, Suite 1300
Bonney Lake, WA, 98391-6535
United States |
|---|
| Phone Number : | 253-848-8797 |
|---|
| Fax Number : | 253-826-1264 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013995976 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Jan, 2006 |
|---|
| Last Updated On : | 14 Nov, 2011 |
|---|
Medicare Participation:
Jennie G Hendrie participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1759640758 |
|---|
| Medicare Enrollment ID : | I20180121000000 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Other |
|---|
| Graduation Year : | 1990 |
|---|
| Accepts Medicare? | Yes. Jennie G Hendrie accepts medicare insurance. |
|---|
Group Practice Association:
Jennie G Hendrie is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jennie G Hendrie is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Multicare Health System | 7719899897 | 1562 | 4700 Point Fosdick Dr
Gig Harbor, WA - 983351706 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennie G Hendrie are as mentioned. Primary taxonomy code for Jennie G Hendrie, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD00036248 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Jennie G Hendrie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8230062 | Other | WA | DSHS NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1706 Meridian S, Suite 120
Puyallup, WA, 98371-7516
United States |
|---|
| Phone Number : | 253-848-8797 |
|---|
| Fax Number : | 253-446-3239 |
|---|
Business Location:
Patients can refer following map for directions to
Jennie G Hendrie practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.