Justin R Ennis, - Emergency Medicine in Portales, NM

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Justin R Ennis, is a Emergency Medicine - Sports Medicine physician based in Portales, New Mexico. Justin R Ennis is licensed to practice in New Mexico (license number 720) and his current practice location is 1500 S Avenue K, Portales, New Mexico. He can be reached at his office (for appointments etc.) via phone at (760) 525-2087.

NPI number for Justin R Ennis is 1023527314 and his current mailing address is 1500 S Avenue K # 17, Portales, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023527314.

Contact Information

Justin R Ennis,
1500 S Avenue K,
Portales, NM 88130-7400
(760) 525-2087
Not Available

Map and Direction




Physician's Profile

Full NameJustin R Ennis
GenderMale
SpecialityEmergency Medicine - Sports Medicine
Location1500 S Avenue K, Portales, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023527314
  • Provider Enumeration Date: 09/29/2017
  • Last Update Date: 09/29/2017

Medical Identifiers

Medical identifiers for Justin R Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023527314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PS0010XEmergency Medicine - Sports Medicine 720 (New Mexico)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. Justin 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 AddressPractice Location Address
Justin R Ennis,
1500 S Avenue K # 17,
Portales, NM 88130-7400

Ph: () -		Justin R Ennis,
1500 S Avenue K,
Portales, NM 88130-7400

Ph: (760) 525-2087

Reviews and Comments


Emergency Medicine Doctors in Portales, NM


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