| Michael W Hennigan, MD | |
|
1847 Florida Ave, Panama City, FL 32405-4640 | |
| (850) 914-8660 | |
| (850) 914-6036 |
| Full Name | Michael W Hennigan |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 37 Years |
| Location | 1847 Florida Ave, Panama City, Florida |
| 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 |
|---|---|---|---|
| 1427040906 | NPI | - | NPPES |
| 374247400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | ME0064533 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michael W. Hennigan, P.a. | 0648296871 | 5 |
| Entity Name | Michael W. Hennigan, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134391857 PECOS PAC ID: 0648296871 Enrollment ID: O20051018000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Hennigan, MD 1847 Florida Ave, Panama City, FL 32405-4640 Ph: (850) 914-8660 | Michael W Hennigan, MD 1847 Florida Ave, Panama City, FL 32405-4640 Ph: (850) 914-8660 |
Anna Elizabeth Nelson, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 319 Prudence Ln, Panama City, FL 32408 Phone: 850-832-9847 | |
Kelly Mason Davis, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1336 Saint Andrews Blvd, Panama City, FL 32405 Phone: 850-763-3911 |