Maureen Connolly, MD is a medicare enrolled "Pediatrics" physician in Highland Park, Michigan. She went to University Of Michigan Medical School and graduated in 2012 and has 14 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is
77 Victor St, Highland Park, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 365-3338.
Maureen Connolly is licensed to practice in Michigan (license number 4301108535) 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 1629331939.
Physician's Profile
| Full Name | Maureen Connolly |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 14 Years |
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| Location | 77 Victor St, Highland Park, Michigan |
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| 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:
- Maureen Connolly attended and graduated from University Of Michigan Medical School in 2012
NPI Data:
- NPI Number: 1629331939
- Provider Enumeration Date: 06/21/2012
- Last Update Date: 07/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 5698089381
- Enrollment ID: I20150810001099
Medical Identifiers
Medical identifiers for Maureen Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629331939 | NPI | - | NPPES |
| 1629331939 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 4301108535 (Michigan) | 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. Maureen Connolly allows following entities to bill medicare on her behalf.
| Entity Name | Henry Ford Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
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| Entity Name | Henry Ford Health System-school Based Health Initiative |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104010578 PECOS PAC ID: 3072875517 Enrollment ID: O20180322000407 |
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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. Maureen Connolly 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 |
Maureen Connolly, MD 77 Victor St, Highland Park, MI 48203-3127 Ph: (313) 365-3338 | Maureen Connolly, MD 77 Victor St, Highland Park, MI 48203 Ph: (313) 365-3338 |
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