Dr Kelly Ennix King, MD - Medicare Internal Medicine in Brandon, FL

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Dr Kelly Ennix King, MD is a medicare enrolled "Hospitalist" physician in Brandon, Florida. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Rural Physicians Group Pc, Alameda Health System and her current practice location is 935 Oakfield Dr, Brandon, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 651-3492.

Dr Kelly Ennix King is licensed to practice in California (license number A83650) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114998606.

Contact Information

Dr Kelly Ennix King, MD
935 Oakfield Dr,
Brandon, FL 33511-4935
(813) 651-3492
Not Available

Map and Direction




Physician's Profile

Full NameDr Kelly Ennix King
GenderFemale
SpecialityInternal Medicine
Experience23 Years
Location935 Oakfield Dr, Brandon, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly Ennix King attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1114998606
  • Provider Enumeration Date: 02/01/2006
  • Last Update Date: 05/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052488681
  • Enrollment ID: I20110510000342

Medical Identifiers

Medical identifiers for Dr Kelly Ennix King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114998606NPI-NPPES
009385100MedicaidCA
009385100MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME116572 (Florida)Secondary
207R00000XInternal Medicine A83650 (California)Secondary
208M00000XHospitalist ME116572 (Florida)Secondary
208M00000XHospitalist A83650 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Highland HospitalOakland, CAHospital
Oak Valley Hospital DistrictOakdale, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rural Physicians Group Pc206276714816
Alameda Health System3779494521533

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. Dr Kelly Ennix King allows following entities to bill medicare on her behalf.
Entity NameAlameda Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740332931
PECOS PAC ID: 3779494521
Enrollment ID: O20031110000764
Entity NameRural Physicians Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730682394
PECOS PAC ID: 2062767148
Enrollment ID: O20180613000951

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 Kelly Ennix King 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 AddressPractice Location Address
Dr Kelly Ennix King, MD
11113 Coventry Grove Cir,
Lithia, FL 33547-4924

Ph: (813) 244-4741		Dr Kelly Ennix King, MD
935 Oakfield Dr,
Brandon, FL 33511-4935

Ph: (813) 651-3492

Reviews and Comments


Hospitalist Doctors in Brandon, FL

Nazif Ahmed Chowdhury, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 876 S Parsons Ave, Brandon, FL 33511
Phone: 813-653-3359    Fax: 813-662-9639
Mrs. Margarita Maria Vanegas, DO
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 119 Oakfield Dr, Brandon, FL 33511
Phone: 813-681-5551    
Enzo Andre Nicosia, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 119 Oakfield Dr, Brandon, FL 33511
Phone: 813-681-5551    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.