David Huber Hennessey, MD | |
701 Broad St, Suite 422, Sewickley, PA 15143-1652 | |
(412) 741-8700 | |
(412) 741-3710 |
Full Name | David Huber Hennessey |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 701 Broad St, Sewickley, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962490300 | NPI | - | NPPES |
0632446 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD021049E (Pennsylvania) | Primary |
Entity Name | Sewickley Valley Pediatrics & Adolescent Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366429631 PECOS PAC ID: 4082502885 Enrollment ID: O20040304000814 |
Mailing Address | Practice Location Address |
---|---|
David Huber Hennessey, MD 701 Broad St, Suite 422, Sewickley, PA 15143-1652 Ph: (412) 741-8700 | David Huber Hennessey, MD 701 Broad St, Suite 422, Sewickley, PA 15143-1652 Ph: (412) 741-8700 |
Robert Schwartz, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Broad St, Suite 422, Sewickley, PA 15143 Phone: 412-741-8700 | |
Mrs. Rose L Munroe, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Broad St Ste 422, Sewickley, PA 15143 Phone: 412-741-8700 Fax: 412-741-3710 | |
Langdon Pegram, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Broad St, Sewickley, PA 15143 Phone: 412-741-8700 Fax: 412-741-3710 | |
Amerigo Ceccarelli, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Broad St, Suite 422, Sewickley, PA 15143 Phone: 412-741-8700 | |
Daniel Graff, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Broad St, Suite 422, Sewickley, PA 15143 Phone: 412-741-8700 | |
Hedwig Marwaha, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 651 Canterbury Ln, Sewickley, PA 15143 Phone: 412-741-3032 |