Mr Erick Farr Hennessy, PA-C in Salt Lake City, UT

Mr Erick Farr Hennessy, PA-C is a medicare enrolled "Physician Assistant" in Salt Lake City, Utah. His current practice location is 2390 S Redwood Rd, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 975-1600.

Mr Erick Farr Hennessy is licensed to practice in * (Not Available) (license number 6932179-1206) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437467594.

Contact Information

	Mr Erick Farr Hennessy, PA-C
	2390 S Redwood Rd, Salt Lake City, UT 84119-2027
	(801) 975-1600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Erick Farr Hennessy
Gender	Male
Speciality	Physician Assistant
Location	2390 S Redwood Rd, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437467594
Provider Enumeration Date: 09/22/2010
Last Update Date: 02/10/2012

Medicare PECOS Information:

PECOS PAC ID: 8022297639
Enrollment ID: I20110128000489

Medical Identifiers

Medical identifiers for Mr Erick Farr Hennessy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437467594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	6932179-1206 (* (Not Available))	Primary

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. Mr Erick Farr Hennessy 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
Mr Erick Farr Hennessy, PA-C 2390 S Redwood Rd, Salt Lake City, UT 84119-2027 Ph: (801) 975-1600	Mr Erick Farr Hennessy, PA-C 2390 S Redwood Rd, Salt Lake City, UT 84119-2027 Ph: (801) 975-1600

Reviews and Comments

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Mr Erick Farr Hennessy, PA-C - Medicare Physician Assistant in Salt Lake City, UT