Keith Ennis, MD in Kokomo, IN - Medicare Emergency Medicine

Keith Ennis, MD is a medicare enrolled "Family Medicine" physician in Kokomo, Indiana. He went to Indiana University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Vincent Physician Services Hospital And Health Care Center and his current practice location is 1907 W Sycamore St, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 456-5433.

Keith Ennis is licensed to practice in Indiana (license number 01040472A) 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 1033292628.

Contact Information

	Keith Ennis, MD
	1907 W Sycamore St, Kokomo, IN 46901-5148
	(765) 456-5433
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith Ennis
Gender	Male
Speciality	Emergency Medicine
Experience	33 Years
Location	1907 W Sycamore St, Kokomo, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith Ennis attended and graduated from Indiana University School Of Medicine in 1991

NPI Data:

NPI Number: 1033292628
Provider Enumeration Date: 10/24/2006
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 6608971809
Enrollment ID: I20070417000470

Medical Identifiers

Medical identifiers for Keith Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033292628	NPI	-	NPPES
200014450E	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01040472A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent Kokomo	Kokomo, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Physician Services Hospital And Health Care Center	9638072184	228

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. Keith Ennis allows following entities to bill medicare on his behalf.

Entity Name	St Vincent Physician Services Hospital And Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422234 PECOS PAC ID: 9638072184 Enrollment ID: O20040223001092

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. Keith 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
Keith Ennis, MD 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: () -	Keith Ennis, MD 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: (765) 456-5433

Reviews and Comments

Family Medicine Doctors in Kokomo, IN

Dr. Eric Tuchscherer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433
Dr. David Alan Cheesman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433
William Mohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2330 S Dixon Rd, Kokomo, IN 46902 Phone: 765-455-5400 Fax: 765-865-3912
Emily A Backer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 E Southway Blvd, Kokomo, IN 46902 Phone: 765-865-3300 Fax: 765-865-3306
Dr. Rose Paul, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 138 N Dixon Rd, Kokomo, IN 46901 Phone: 765-236-8282
William G Terpstra, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 821 N Dixon Rd, Kokomo, IN 46901 Phone: 765-452-0878 Fax: 765-452-1826

Keith Ennis, MD - Medicare Emergency Medicine in Kokomo, IN