Kathy Alene Ennes, LCSW in Fayetteville, AR - Medicare Social Worker Provider

Kathy Alene Ennes, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, Arkansas. Her current practice location is 60 W Sunbridge Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 695-1240.

Kathy Alene Ennes is licensed to practice in Arkansas (license number 1809-C) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053353003.

Contact Information

	Kathy Alene Ennes, LCSW
	60 W Sunbridge Dr, Fayetteville, AR 72703-1822
	(479) 695-1240
	(479) 750-4843

Map and Direction

Healthcare Provider's Profile

Full Name	Kathy Alene Ennes
Gender	Female
Speciality	Social Worker - Clinical
Location	60 W Sunbridge Dr, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053353003
Provider Enumeration Date: 06/12/2006
Last Update Date: 07/13/2016

Medicare PECOS Information:

PECOS PAC ID: 8123013521
Enrollment ID: I20040415001228

Medical Identifiers

Medical identifiers for Kathy Alene Ennes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053353003	NPI	-	NPPES
5X658	Other	AR	BLUE SHIELD PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1809-C (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathy Alene Ennes allows following entities to bill medicare on her behalf.

Entity Name	Ozark Guidance Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380

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. Kathy Alene Ennes 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
Kathy Alene Ennes, LCSW 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020	Kathy Alene Ennes, LCSW 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 Ph: (479) 695-1240

Reviews and Comments

Social Worker in Fayetteville, AR

Courtney Elaine Goodrum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-443-5575
Ernestine Dickson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 S East Ave, Fayetteville, AR 72701 Phone: 501-313-1033
Nancy Lou Webb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 W. Sunbridge, Fayetteville, AR 72703 Phone: 479-725-5224 Fax: 479-750-8967
Carla E Williams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 W Eden Cir, Fayetteville, AR 72701 Phone: 479-409-6167 Fax: 479-587-8703
Jordan Hughes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2354 N Montana Ave, Fayetteville, AR 72704 Phone: 501-690-3633
Kerri Vollmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703 Phone: 479-582-5565
Mary C Ferguson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-695-1240 Fax: 479-695-1242

Kathy Alene Ennes, LCSW - Medicare Clinical Social Worker in Fayetteville, AR