Coyness L Ennix, is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Piedmont, California. He went to Meharry Medical College School Of Medicine and graduated in 1967 and has 57 years of diverse experience with area of expertise as Thoracic Surgery. His current practice location is
101 Sea View Ave, Piedmont, California. You can reach out to his office (for appointments etc.) via phone at
(510) 459-3547.
Coyness L Ennix is licensed to practice in California (license number C39990) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942288725.
Physician's Profile
| Full Name | Coyness L Ennix |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 57 Years |
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| Location | 101 Sea View Ave, Piedmont, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Coyness L Ennix attended and graduated from Meharry Medical College School Of Medicine in 1967
NPI Data:
- NPI Number: 1942288725
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 11/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 2466475256
- Enrollment ID: I20060109000279
Medical Identifiers
Medical identifiers for Coyness L Ennix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942288725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C39990 (California) | Primary |
Medical Facilities Affiliation
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. Coyness L Ennix allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Coyness L Ennix 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 |
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Coyness L Ennix,
101 Sea View Ave,
Piedmont, CA 94610-1246
Ph: (510) 459-3547 | Coyness L Ennix,
101 Sea View Ave,
Piedmont, CA 94610-1246
Ph: (510) 459-3547 |
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