Dr Russell B Hennessey, is a
Anesthesiology physician based in Vivian, Louisiana. Dr Russell B Hennessey is licensed to practice in Louisiana (license number 022466) and his current practice location is 1000 S Spruce St, Vivian, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 375-3239.
NPI number for Dr Russell B Hennessey is 1497793236 and his current mailing address is 3025 Old Mooringsport Rd, Shreveport, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497793236.
Physician's Profile
Full Name | Dr Russell B Hennessey |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 1000 S Spruce St, Vivian, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497793236
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Russell B Hennessey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497793236 | NPI | - | NPPES |
1944569 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 022466 (Louisiana) | Primary |
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. Dr Russell B Hennessey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Russell B Hennessey, 3025 Old Mooringsport Rd, Shreveport, LA 71107-4022 Ph: (318) 797-1743 | Dr Russell B Hennessey, 1000 S Spruce St, Vivian, LA 71082-3232 Ph: (318) 375-3239 |
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