Dr Jonathan J Hennessee, DO is a medicare enrolled "Family Medicine" physician in West River, Maryland. He went to Western University Of Health Sciences College Of Dental Med and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Greater Baltimore Medical Center Inc and his current practice location is
134 Owensville Road, West River, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 867-4700.
Dr Jonathan J Hennessee is licensed to practice in Maryland (license number H76407) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972814192.
Physician's Profile
| Full Name | Dr Jonathan J Hennessee |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 14 Years |
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| Location | 134 Owensville Road, West River, Maryland |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan J Hennessee attended and graduated from Western University Of Health Sciences College Of Dental Med in 2010
NPI Data:
- NPI Number: 1972814192
- Provider Enumeration Date: 06/23/2010
- Last Update Date: 02/14/2017
Medicare PECOS Information:
- PECOS PAC ID: 0446494389
- Enrollment ID: I20130917000014
Medical Identifiers
Medical identifiers for Dr Jonathan J Hennessee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972814192 | NPI | - | NPPES |
| 404482700 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | RT-2118 (New Hampshire) | Secondary |
| 207Q00000X | Family Medicine | H76407 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Greater Baltimore Medical Center Inc | 1759276975 | 309 |
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 Jonathan J Hennessee allows following entities to bill medicare on his behalf.
| Entity Name | Greater Baltimore Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891855763
PECOS PAC ID: 1759276975
Enrollment ID: O20040217000852 |
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| Entity Name | Chase Brexton Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588606305
PECOS PAC ID: 5395644835
Enrollment ID: O20040512000520 |
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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 Jonathan J Hennessee 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 |
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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 |
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