Dr Edward C Hennis, MD in Girard, PA - Medicare Family Medicine

Dr Edward C Hennis, MD is a medicare enrolled "Family Medicine" physician in Girard, Pennsylvania. His current practice location is 1135 Lake St Ste 2, Girard, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 774-3155.

Dr Edward C Hennis is licensed to practice in Pennsylvania (license number MD485353) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639708308.

Contact Information

	Dr Edward C Hennis, MD
	1135 Lake St Ste 2, Girard, PA 16417-1049
	(814) 774-3155
	(814) 456-2375

Map and Direction

Physician's Profile

Full Name	Dr Edward C Hennis
Gender	Male
Speciality	Family Medicine
Location	1135 Lake St Ste 2, Girard, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639708308
Provider Enumeration Date: 04/05/2020
Last Update Date: 07/14/2025

Medicare PECOS Information:

PECOS PAC ID: 1153859277
Enrollment ID: I20250116001697

Medical Identifiers

Medical identifiers for Dr Edward C Hennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639708308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD485353 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	MD485353 (Pennsylvania)	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. Dr Edward C Hennis allows following entities to bill medicare on his behalf.

Entity Name	Community Health Net
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245209170 PECOS PAC ID: 1759290588 Enrollment ID: O20031222000617

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. Dr Edward C Hennis 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
Dr Edward C Hennis, MD 1202 State St, Erie, PA 16501-1914 Ph: (814) 454-4530	Dr Edward C Hennis, MD 1135 Lake St Ste 2, Girard, PA 16417-1049 Ph: (814) 774-3155

Reviews and Comments

Family Medicine Doctors in Girard, PA

Dr. Joshua Czerwinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Imperial Pkwy, Girard, PA 16417 Phone: 814-774-3128 Fax: 814-774-0915
Warren J Beaver, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1135 Lake St, Girard, PA 16417 Phone: 814-774-3155
Lisa Ann Treusch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Imperial Pkwy, Girard, PA 16417 Phone: 814-774-3128 Fax: 814-774-0915
Leah M Campbell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Imperial Pkwy, Girard, PA 16417 Phone: 814-774-3128 Fax: 814-774-0915

Dr Edward C Hennis, MD - Medicare Family Medicine in Girard, PA