Dr James Walter Ennis Ii, DDS is a
Dentist based in Banner Elk, North Carolina. Dr James Walter Ennis Ii is licensed to practice in North Carolina (license number 6136) and his current practice location is
2043 Tynecastle Hwy, Banner Elk, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(828) 898-8343.
NPI number for Dr James Walter Ennis Ii is 1720165236 and his current mailing address is Po Box 2230, 2043 Tynecastle Hwy, Banner Elk, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720165236.
Healthcare Provider's Profile
| Full Name | Dr James Walter Ennis Ii |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 2043 Tynecastle Hwy, Banner Elk, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720165236
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr James Walter Ennis Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720165236 | NPI | - | NPPES |
| 8992501 | Medicaid | NC | |
| 92501 | Other | NC | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 6136 (North Carolina) | Primary |
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. Dr James Walter Ennis Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr James Walter Ennis Ii, DDS
Po Box 2230, 2043 Tynecastle Hwy,
Banner Elk, NC 28604-2230
Ph: (828) 898-8343 | Dr James Walter Ennis Ii, DDS
2043 Tynecastle Hwy,
Banner Elk, NC 28604-9710
Ph: (828) 898-8343 |
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