James R Ennis, DO is a
General Practice physician based in Holts Summit, Missouri. James R Ennis is licensed to practice in Missouri (license number R6639) and his current practice location is 180 Northstar, Holts Summit, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 896-5115.
NPI number for James R Ennis is 1881666865 and his current mailing address is 180 Northstar, Capital Region Medical Clinic, Holts Summit, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881666865.
Physician's Profile
| Full Name | James R Ennis |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 180 Northstar, Holts Summit, Missouri |
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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: 1881666865
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 07/19/2012
Medical Identifiers
Medical identifiers for James R Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881666865 | NPI | - | NPPES |
| 813149 | Other | | FIRST HEALTH |
| 104257 | Other | | HEALTHLINK |
| 100491 | Other | | BLUE CROSS BLUE SHIELD |
| 7779636 | Other | | CIGNA |
| 240009803 | Medicaid | MO | |
| 501607808 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | R6639 (Missouri) | 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. James R Ennis 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 |
|---|
James R Ennis, DO
180 Northstar, Capital Region Medical Clinic,
Holts Summit, MO 65043
Ph: (573) 896-5115 | James R Ennis, DO
180 Northstar,
Holts Summit, MO 65043
Ph: (573) 896-5115 |
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