Tedric Cornelius Henneghan, MD | |
1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | |
(954) 838-2371 | |
Not Available |
Full Name | Tedric Cornelius Henneghan |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 1613 Harrison Pkwy, Sunrise, Florida |
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 |
---|---|---|---|
1992773667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | D63826 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Md Medical Center Midtown Campus | Baltimore, MD | Hospital |
University Of Maryland Medical Center | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Maryland Anesthesiology Associates Pa | 8022905306 | 110 |
Entity Name | University Of Maryland Anesthesiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720024235 PECOS PAC ID: 8022905306 Enrollment ID: O20040302000341 |
Mailing Address | Practice Location Address |
---|---|
Tedric Cornelius Henneghan, MD Po Box 452395, Sunrise, FL 33345-2395 Ph: () - | Tedric Cornelius Henneghan, MD 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 Ph: (954) 838-2371 |
James M. Cogdill, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Pedro R. Fernandez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Nicholas M. Vuong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Skiles (sam) A. Montague, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
W. Vincent Picolo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Dilsheesh K Purewal, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2120 Nw 107th Ter, Sunrise, FL 33322 Phone: 954-741-0636 Fax: 954-741-0639 | |
Roger L. Duncan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2667 |