Mr Jonathon Lee Ennis, PAC is a medicare enrolled "Physician Assistant" in Springfield, Kentucky. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, Baptist Health Medical Group Inc and his current practice location is
805 Bardstown Rd, Springfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 481-7113.
Mr Jonathon Lee Ennis is licensed to practice in Kentucky (license number ) 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 1497267637.
Provider's Profile
| Full Name | Mr Jonathon Lee Ennis |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 805 Bardstown Rd, Springfield, Kentucky |
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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:
- Mr Jonathon Lee Ennis graduated from nursing school in 2017
NPI Data:
- NPI Number: 1497267637
- Provider Enumeration Date: 10/27/2017
- Last Update Date: 03/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 6305106675
- Enrollment ID: I20180206000197
Medical Identifiers
Medical identifiers for Mr Jonathon Lee Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497267637 | NPI | - | NPPES |
| 7100515140 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 731 |
| Baptist Health Medical Group Inc | 5597867184 | 1934 |
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. Mr Jonathon Lee 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 |
|---|
Mr Jonathon Lee Ennis, PAC
805 Bardstown Rd,
Springfield, KY 40069-1513
Ph: (859) 481-7113 | Mr Jonathon Lee Ennis, PAC
805 Bardstown Rd,
Springfield, KY 40069
Ph: (859) 481-7113 |
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