Doctor profile · Federal record
Dr. Marie Hennelly, M.D.
Family Medicine Physician (CMS: Family Practice) · Student in an Organized Health Care Education/Training Program · Family Medicine Physician · Philadelphia, PA
- NPI 1912393539
- Accepts Medicare
- 11 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
401-55 W Allegheny Avenue
Philadelphia, PA 191333644
(215) 291-2500
fax (215) 291-2502 - Additional location
-
550 16Th Ave, Ste 100
Seattle, WA 981225699
(206) 320-2484 - Additional location
-
8720 14Th Ave S
Seattle, WA 98108
(206) 762-3730 - Mailing address
-
1412-22 Fairmount Avenue
Philadelphia, PA 191302908
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- January 10, 2019
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Pennsylvania #MD465402 · Washington #MD60748517
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912393539. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $17.37 |
By nature of payment
Frequently asked questions
What is Dr. Marie Hennelly's medical specialty?
Dr. Marie Hennelly practices Family Medicine Physician in Philadelphia, PA.
Where does Dr. Marie Hennelly practice?
Dr. Marie Hennelly practices at 401-55 W Allegheny Avenue, Philadelphia, PA 191333644. Office phone: 2152912500.
What is Dr. Marie Hennelly's NPI?
Dr. Marie Hennelly's National Provider Identifier (NPI) is 1912393539, issued by NPPES.
Does Dr. Marie Hennelly accept Medicare assignment?
Yes. Dr. Marie Hennelly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.