Michael Hennigan, | |
1451 Hillside Dr, Clarks Summit, PA 18411-9504 | |
(570) 586-2011 | |
Not Available |
Full Name | Michael Hennigan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1451 Hillside Dr, Clarks Summit, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538699384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP017524 (Pennsylvania) | Primary |
Entity Name | Pennsylvania Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447233424 PECOS PAC ID: 0547168064 Enrollment ID: O20050425000477 |
Mailing Address | Practice Location Address |
---|---|
Michael Hennigan, 1451 Hillside Dr, Clarks Summit, PA 18411-9504 Ph: (570) 586-2011 | Michael Hennigan, 1451 Hillside Dr, Clarks Summit, PA 18411-9504 Ph: (570) 586-2011 |
Mrs. Kelsey A Madden, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Morgan Highway, Clarks Summit, PA 18411 Phone: 570-586-6637 Fax: 570-587-0547 | |
Kathleen Elizabeth Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39 Fig Ave, Clarks Summit, PA 18411 Phone: 570-242-7026 | |
Ms. Lori A. Pietrowski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 Northern Blvd, Clarks Summit, PA 18411 Phone: 570-587-2290 Fax: 570-587-1874 | |
Mary Kathryn Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 N State St, Clarks Summit, PA 18411 Phone: 570-586-1134 Fax: 570-586-1136 | |
Joanne L Tanner, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N State St, Minute Clinic, Clarks Summit, PA 18411 Phone: 570-587-1205 | |
Kathleen Doherty, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 E Grove Street, Clarks Summit, PA 18411 Phone: 570-209-7878 |