Gina Michelle Hennessy, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Exton, Pennsylvania. Her current practice location is
702 Gordon Dr, Exton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 363-1330.
Gina Michelle Hennessy is licensed to practice in Pennsylvania (license number SP010586) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831428317.
Physician's Profile
Full Name | Gina Michelle Hennessy |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 702 Gordon Dr, Exton, Pennsylvania |
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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: 1831428317
- Provider Enumeration Date: 12/14/2009
- Last Update Date: 11/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173871795
- Enrollment ID: I20180730001912
Medical Identifiers
Medical identifiers for Gina Michelle Hennessy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831428317 | NPI | - | NPPES |
1026832780001 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | SP010586 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP010586 (Pennsylvania) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | LJ-0000276 (Delaware) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | SP010586 (Pennsylvania) | 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. Gina Michelle 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 |
Gina Michelle Hennessy, APRN 702 Gordon Dr, Exton, PA 19341-1253 Ph: (610) 363-1330 | Gina Michelle Hennessy, APRN 702 Gordon Dr, Exton, PA 19341-1253 Ph: (610) 363-1330 |
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