Dr Patrick Thomas Hennessey, MD | |
1500 Abbot Rd, Suite 400, East Lansing, MI 48823-1222 | |
(517) 332-0100 | |
(517) 332-0356 |
Full Name | Dr Patrick Thomas Hennessey |
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Gender | Male |
Speciality | Otolaryngology |
Location | 1500 Abbot Rd, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215146956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 22205 (Maryland) | Secondary |
207Y00000X | Otolaryngology | D68392 (Maryland) | Secondary |
207Y00000X | Otolaryngology | 4301103981 (Michigan) | Primary |
Entity Name | Mid Michigan Ear Nose And Throat Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326133398 PECOS PAC ID: 1052363801 Enrollment ID: O20050221000242 |
Mailing Address | Practice Location Address |
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Dr Patrick Thomas Hennessey, MD 1500 Abbot Rd, Suite #400, East Lansing, MI 48823-9998 Ph: (517) 332-0100 | Dr Patrick Thomas Hennessey, MD 1500 Abbot Rd, Suite 400, East Lansing, MI 48823-1222 Ph: (517) 332-0100 |
Gerald L Gilroy, D.O. Otolaryngology Medicare: Medicare Enrolled Practice Location: 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823 Phone: 517-324-3278 Fax: 517-324-3657 | |
Dr. Jason David Chesney, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 Abbot Rd, Suite 400, East Lansing, MI 48823 Phone: 517-332-0100 Fax: 517-332-0356 | |
Dr. Duane George Mayhew, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1072 Applegate Ln, East Lansing, MI 48823 Phone: 517-351-5055 | |
Dr. Eric A Goebel, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 Abbot Rd, Suite 400, East Lansing, MI 48823 Phone: 517-332-0100 Fax: 517-332-0356 | |
Dr. Mark D Lebeda, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 Abbot Rd, Suite 400, East Lansing, MI 48823 Phone: 517-332-0100 Fax: 517-332-0356 | |
Ahmed Sufyan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 Abbot Rd, Suite 400, East Lansing, MI 48823 Phone: 517-332-0100 Fax: 517-324-7193 |