Michael Hennelly, MD in Jemez Pueblo, NM - Medicare Family Practice

Michael Hennelly, MD is a medicare enrolled "Family Medicine" physician in Jemez Pueblo, New Mexico. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1974 and has 51 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Pueblo Of Jemez, Pueblo Of Jemez and his current practice location is 110 Sheep Springs, Jemez Pueblo, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 834-7413.

Michael Hennelly is licensed to practice in New Mexico (license number 75-167) 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 1871553933.

Contact Information

	Michael Hennelly, MD
	110 Sheep Springs, Jemez Pueblo, NM 87024-0279
	(575) 834-7413
	(575) 834-7517

Map and Direction

Physician's Profile

Full Name	Michael Hennelly
Gender	Male
Speciality	Family Practice
Experience	51 Years
Location	110 Sheep Springs, Jemez Pueblo, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Hennelly attended and graduated from University Of Missouri, Columbia School Of Medicine in 1974

NPI Data:

NPI Number: 1871553933
Provider Enumeration Date: 03/24/2006
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3577515808
Enrollment ID: I20151210001969

Medical Identifiers

Medical identifiers for Michael Hennelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871553933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	75-167 (New Mexico)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pueblo Of Jemez	3971584509	17
Pueblo Of Jemez	3971584509	17

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. Michael Hennelly allows following entities to bill medicare on his behalf.

Entity Name	Pueblo Of Jemez
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417082215 PECOS PAC ID: 3971584509 Enrollment ID: O20050411001246

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. Michael Hennelly 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
Michael Hennelly, MD Po Box 279, Jemez Pueblo, NM 87024-0279 Ph: (575) 834-7413	Michael Hennelly, MD 110 Sheep Springs, Jemez Pueblo, NM 87024-0279 Ph: (575) 834-7413

Reviews and Comments

Family Medicine Doctors in Jemez Pueblo, NM

Gregory L Darrow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-7413
Dr. David Lawrence Tempest, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-7413 Fax: 575-834-3081

Michael Hennelly, MD - Medicare Family Practice in Jemez Pueblo, NM