Judy Ungerleider Hennessey, MD in San Rafael, CA - Medicare Obstetrics & Gynecology

Judy Ungerleider Hennessey, MD is a medicare enrolled "Obstetrics & Gynecology" physician in San Rafael, California. Her current practice location is 99 Montecillo Rd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 444-2000.

Judy Ungerleider Hennessey is licensed to practice in California (license number G81231) 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 1811069669.

Contact Information

	Judy Ungerleider Hennessey, MD
	99 Montecillo Rd, San Rafael, CA 94903-3308
	(415) 444-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Judy Ungerleider Hennessey
Gender	Female
Speciality	Obstetrics & Gynecology
Location	99 Montecillo Rd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811069669
Provider Enumeration Date: 11/15/2006
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 7214913938
Enrollment ID: I20041108000600

Medical Identifiers

Medical identifiers for Judy Ungerleider Hennessey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811069669	NPI	-	NPPES
00G812310	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	G81231 (California)	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. Judy Ungerleider Hennessey allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Judy Ungerleider Hennessey 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
Judy Ungerleider Hennessey, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Judy Ungerleider Hennessey, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000

Reviews and Comments

Obstetrics & Gynecology Doctors in San Rafael, CA

Anne M. Wara, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Peter K. Heinlein, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Dr. Melissa Kay Crochet, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1650 Los Gamos Dr Ste 300, San Rafael, CA 94903 Phone: 415-444-4440 Fax: 415-492-6215
Martin Schwartz, MD OB GYN Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 361 Third Street, Suite E, San Rafael, CA 94901 Phone: 415-499-4030 Fax: 415-507-2634
Jenny Soriano, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 361 3rd St, Suite E, San Rafael, CA 94901 Phone: 415-499-4030 Fax: 415-507-2634
Harris F Simmonds, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 353 Clorinda Ave, San Rafael, CA 94901 Phone: 415-455-8814
Cassius A. Scott, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000

Judy Ungerleider Hennessey, MD - Medicare Obstetrics & Gynecology in San Rafael, CA