Jared Ennis, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fayetteville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Interventional Pain Specialists Of Nwa Pllc and his current practice location is
4019 N Remington Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 595-8192.
Jared Ennis is licensed to practice in Arkansas (license number E-4271) 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 1467539155.
Physician's Profile
| Full Name | Jared Ennis |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 23 Years |
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| Location | 4019 N Remington Dr, Fayetteville, Arkansas |
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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:
- Jared Ennis attended and graduated from University Of Arkansas College Of Medicine in 2001
NPI Data:
- NPI Number: 1467539155
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476598756
- Enrollment ID: I20050627001203
Medical Identifiers
Medical identifiers for Jared Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467539155 | NPI | - | NPPES |
| 157891001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | E-4271 (Arkansas) | Primary |
| 207L00000X | Anesthesiology | E-4271 (Arkansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Interventional Pain Specialists Of Nwa Pllc | 6901081538 | 2 |
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. Jared Ennis allows following entities to bill medicare on his behalf.
| Entity Name | Interventional Pain Specialists Of Nwa Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295032407
PECOS PAC ID: 6901081538
Enrollment ID: O20110426000462 |
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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. Jared 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 |
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Jared Ennis, MD
4019 N Remington Dr,
Fayetteville, AR 72703-6344
Ph: (479) 595-8192 | Jared Ennis, MD
4019 N Remington Dr,
Fayetteville, AR 72703-6344
Ph: (479) 595-8192 |
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