Donald J Hennessy, MD is a medicare enrolled "Internal Medicine" physician in Cedarburg, Wisconsin. His current practice location is
N143w6515 Pioneer Rd, Cedarburg, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 377-6933.
Donald J Hennessy is licensed to practice in Wisconsin (license number 23781) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811960495.
Physician's Profile
Full Name | Donald J Hennessy |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | N143w6515 Pioneer Rd, Cedarburg, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811960495
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 01/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 6002919438
- Enrollment ID: I20070305000735
Medical Identifiers
Medical identifiers for Donald J Hennessy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811960495 | NPI | - | NPPES |
30630400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 23781 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Donald J Hennessy allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donald J Hennessy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Donald J Hennessy, MD N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 Ph: (262) 377-6933 | Donald J Hennessy, MD N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 Ph: (262) 377-6933 |
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