Charlene Tennyson, MD in Grand Rapids, MI

Charlene Tennyson, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Grand Rapids, Michigan. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Cardiac Surgery. She is a member of the group practice The Association Of University Physicians and her current practice location is 275 Michigan St Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-2802.

Charlene Tennyson is licensed to practice in Michigan (license number 4352001221) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205669819.

Contact Information

	Charlene Tennyson, MD
	275 Michigan St Ne, Grand Rapids, MI 49503-2531
	(616) 391-2802
	Not Available

Map and Direction

Physician's Profile

Full Name	Charlene Tennyson
Gender	Female
Speciality	Cardiac Surgery
Experience	13 Years
Location	275 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlene Tennyson graduated from medical school in 2012

NPI Data:

NPI Number: 1205669819
Provider Enumeration Date: 08/21/2024
Last Update Date: 10/27/2025

Medicare PECOS Information:

PECOS PAC ID: 1355880543
Enrollment ID: I20240903000526

Medical Identifiers

Medical identifiers for Charlene Tennyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205669819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	4352001221 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Washington Medical Ctr	Seattle, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Association Of University Physicians	0446162697	3327

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. Charlene Tennyson allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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. Charlene Tennyson 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
Charlene Tennyson, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () -	Charlene Tennyson, MD 275 Michigan St Ne, Grand Rapids, MI 49503-2531 Ph: (616) 391-2802

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Grand Rapids, MI

David Ranney, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-459-7258
Dr. Neal Matthew Foley, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 512-789-5674
James Martin Hammel, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Neal D Hillman, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 Phone: 616-267-9150 Fax: 616-267-4180
Edward T Murphy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-459-7258 Fax: 616-459-5215
Marzia Leacche, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-459-7258 Fax: 616-459-5215
Mr. John Charles Heiser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-459-7258 Fax: 616-459-5215

Charlene Tennyson, MD - Medicare Cardiac Surgery in Grand Rapids, MI