Dr Thomas N Fennessy, MD is a medicare enrolled "General Practice" physician in Tilden, Nebraska. His current practice location is
306 West 2 Street, Tilden, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 368-9964.
Dr Thomas N Fennessy is licensed to practice in Nebraska (license number 22583) 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 1356357149.
Physician's Profile
Full Name | Dr Thomas N Fennessy |
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Gender | Male |
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Speciality | General Practice |
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Location | 306 West 2 Street, Tilden, Nebraska |
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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: 1356357149
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 06/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 3870589526
- Enrollment ID: I20040519001391
Medical Identifiers
Medical identifiers for Dr Thomas N Fennessy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356357149 | NPI | - | NPPES |
01724 | Other | NE | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 22583 (Nebraska) | 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. Dr Thomas N Fennessy allows following entities to bill medicare on his behalf.
Entity Name | Thomas N Fennessy Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346597820 PECOS PAC ID: 6709039910 Enrollment ID: O20130118000246 |
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Entity Name | Kearney Regional Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174932388 PECOS PAC ID: 7517109408 Enrollment ID: O20141029001548 |
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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. Dr Thomas N Fennessy 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 |
Dr Thomas N Fennessy, MD 109 N 29th St, Ste 5, Norfolk, NE 68701-3261 Ph: (402) 368-9964 | Dr Thomas N Fennessy, MD 306 West 2 Street, Tilden, NE 68781 Ph: (402) 368-9964 |
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