Dr Jonathan J Hennessee, DO | |
134 Owensville Road, West River, MD 20778 | |
(410) 867-4700 | |
(410) 867-8754 |
Full Name | Dr Jonathan J Hennessee |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 134 Owensville Road, West River, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972814192 | NPI | - | NPPES |
404482700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RT-2118 (New Hampshire) | Secondary |
207Q00000X | Family Medicine | H76407 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Greater Baltimore Medical Center | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greater Baltimore Medical Center Inc | 1759276975 | 307 |
Entity Name | Greater Baltimore Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
Entity Name | Chase Brexton Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588606305 PECOS PAC ID: 5395644835 Enrollment ID: O20040512000520 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan J Hennessee, DO 134 Owensville Road, West River, MD 20778 Ph: (410) 867-4700 | Dr Jonathan J Hennessee, DO 134 Owensville Road, West River, MD 20778 Ph: (410) 867-4700 |
Catherine Njiru-sewer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Owensville Rd, West River, MD 20778 Phone: 410-867-4700 | |
Gabriel Wilson, CRNP-FAMILY Family Medicine Medicare: Medicare Enrolled Practice Location: 134 Owensville Rd, West River, MD 20778 Phone: 410-867-4700 |