Individual
JOHN M MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 NORTH LAKE AVE, WORCESTER, MA 01605
(508) 595-2513
(508) 854-0822
Mailing address
630 PLANTATION ST, WOT 12TH FL ATTN PHYSICIAN SERVICES, WORCESTER, MA 01605
(508) 368-5529
(508) 368-5530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37188
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400980
EVERCARE
—
01
—
3100448
MEDICAID WELFARE
—
05
—
3100448
—
MA
01
—
3548152
CIGNA HEALTH PLAN
—
01
—
917962
FIRST HEALTH
—
01
—
9410342002
CIGNA HEALTH PLAN
—
01
—
E09004
BLUE CROSS
—
01
—
W10105401
CIGNA HEALTH PLAN
—
Enumeration date
09/08/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us