Mr Patrick S Ennis, LCSW in Santa Rosa, CA - Medicare Social Worker Provider

Mr Patrick S Ennis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Rosa, California. His current practice location is 320 10th St, Suite 205, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 523-6939.

Mr Patrick S Ennis is licensed to practice in California (license number LCS18208) 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 1457506305.

Contact Information

	Mr Patrick S Ennis, LCSW
	320 10th St, Suite 205, Santa Rosa, CA 95401-5291
	(707) 523-6939
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Patrick S Ennis
Gender	Male
Speciality	Social Worker - Clinical
Location	320 10th St, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457506305
Provider Enumeration Date: 11/19/2008
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7416216742
Enrollment ID: I20180112001561

Medical Identifiers

Medical identifiers for Mr Patrick S Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457506305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS18208 (California)	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. Mr Patrick S Ennis allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Patrick S Ennis 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 Patrick S Ennis, LCSW 320 10th St, Suite 205, Santa Rosa, CA 95401-5291 Ph: (707) 523-6939	Mr Patrick S Ennis, LCSW 320 10th St, Suite 205, Santa Rosa, CA 95401-5291 Ph: (707) 523-6939

Reviews and Comments

Social Worker in Santa Rosa, CA

Mrs. Erin O. Liiv, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600
Cristina Corey Schroen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-2536
Karen Helene Littell, MSW, ASW, PPSC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 10th St Ste 200, Santa Rosa, CA 95401 Phone: 707-299-9132
Marcelle Dominguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 576 B St, Suite 1-b, Santa Rosa, CA 95401 Phone: 707-339-0398
Mrs. Paula D Shatkin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1360 N Dutton Ave Ste C, Santa Rosa, CA 95401 Phone: 707-303-1531 Fax: 707-571-8195
David William Mcgahee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4545
Ms. Jo Ann Conant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3841 Brickway Blvd, Santa Rosa, CA 95403 Phone: 707-569-2372

Mr Patrick S Ennis, LCSW - Medicare Clinical Social Worker in Santa Rosa, CA