| Dr John Joseph Hennessey, MD | |
|
1527 Route 12, Suite 1, Gales Ferry, CT 06335-1800 | |
| (860) 464-7253 | |
| (860) 464-7404 |
| Full Name | Dr John Joseph Hennessey |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 1527 Route 12, Gales Ferry, Connecticut |
| 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 |
|---|---|---|---|
| 1215916564 | NPI | - | NPPES |
| 001375923 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 037592 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Healthcare At Home | Bloomfield, CT | Hospice |
| Masonicare Home Health And Hospice Inc | Wallingford, CT | Hospice |
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| William W Backus Hospital | Norwich, CT | Hospital |
| Avalon Health Care Center At Stoneridge | Mystic, CT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gales Ferry Medical Group Llc | 3971645359 | 4 |
| Entity Name | Gales Ferry Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194859058 PECOS PAC ID: 3971645359 Enrollment ID: O20100122000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Joseph Hennessey, MD Po Box 355, Gales Ferry, CT 06335-0355 Ph: (860) 464-7253 | Dr John Joseph Hennessey, MD 1527 Route 12, Suite 1, Gales Ferry, CT 06335-1800 Ph: (860) 464-7253 |
Kathleen Mary Oconnor, A.P.R.N. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1527 Route 12, Gales Ferry, CT 06335 Phone: 860-464-7253 Fax: 860-464-7404 | |
Dr. Sanford Alan Greenhouse, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1527 Route 12, Gales Ferry, CT 06335 Phone: 860-464-7253 Fax: 860-464-7404 |