Individual provider Active NPI

Marion L Sennett, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1962498295
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00010417 Issued in AL
Practice address
100 Memorial Hospital Dr
Ste 3a
Mobile, AL 36608-1183
Phone
(251) 342-2641
Fax
(251) 343-9507
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00010417 AL Primary

Addresses

Primary practice location

100 Memorial Hospital Dr
Ste 3a
Mobile, AL 36608-1183

Mailing address

100 Memorial Hospital Dr
Ste 3a
Mobile, AL 36608-1183
Phone (251) 342-2641

Other identifiers 2

IdentifierTypeStateIssuer
000037753MedicaidAL
51037753OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000004 AL Practitioner - Internal Medicine 1153464375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Adult Care LLCGroup PAC ID 4880611326, 5 clinicians

Practice addresses (Care Compare)

Suite
3A 100 Mem Hospital Dr
Mobile, AL 36608-1185
Phone (251) 342-2641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00010417ALMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: marion.sennett@mobadt.direct.medconnect-inc.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1962498295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR",
            "address_2": "STE 3A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081183",
            "telephone_number": "251-342-2641",
            "fax_number": "251-343-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR",
            "address_2": "STE 3A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081183",
            "telephone_number": "251-342-2641",
            "fax_number": "251-343-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENNETT",
        "first_name": "MARION",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00010417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000037753",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51037753",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.