| Dr Jonathan J Hennessee, DO | |
|
134 Owensville Road, West River, MD 20778 | |
| (410) 867-4700 | |
| (410) 867-8754 |
| Full Name | Dr Jonathan J Hennessee |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 134 Owensville Road, West River, Maryland |
| 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 |
|---|---|---|---|
| 1972814192 | NPI | - | NPPES |
| 404482700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RT-2118 (New Hampshire) | Secondary |
| 207Q00000X | Family Medicine | H76407 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health, Inc | Towson, MD | Home health agency |
| Greater Baltimore Medical Center | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Baltimore Medical Center Inc | 1759276975 | 311 |
| Agape Physical Therapy And Sports Rehabilitation Lp | 3870741390 | 478 |
| Entity Name | Greater Baltimore Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
| Entity Name | Chase Brexton Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606305 PECOS PAC ID: 5395644835 Enrollment ID: O20040512000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan J Hennessee, DO 134 Owensville Road, West River, MD 20778 Ph: (410) 867-4700 | Dr Jonathan J Hennessee, DO 134 Owensville Road, West River, MD 20778 Ph: (410) 867-4700 |
Catherine Njiru-sewer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Owensville Rd, West River, MD 20778 Phone: 410-867-4700 | |
Gabriel Wilson, CRNP-FAMILY Family Medicine Medicare: Medicare Enrolled Practice Location: 134 Owensville Rd, West River, MD 20778 Phone: 410-867-4700 |