Mrs Mackenzie Price Ennis, CRNA in Roanoke, VA - Medicare Nurse Anesthetist, Certified Registered

Mrs Mackenzie Price Ennis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roanoke, Virginia. Her current practice location is 1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 981-7000.

Mrs Mackenzie Price Ennis is licensed to practice in Virginia (license number 0024188516) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144005729.

Contact Information

	Mrs Mackenzie Price Ennis, CRNA
	1906 Belleview Ave Se, Roanoke, VA 24014-1838
	(540) 981-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mackenzie Price Ennis
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1906 Belleview Ave Se, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144005729
Provider Enumeration Date: 08/30/2023
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1355792185
Enrollment ID: I20240105002812

Medical Identifiers

Medical identifiers for Mrs Mackenzie Price Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144005729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	340766 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024188516 (Virginia)	Primary

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. Mrs Mackenzie Price Ennis allows following entities to bill medicare on her behalf.

Entity Name	Carilion Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184634156 PECOS PAC ID: 2163323999 Enrollment ID: O20040115000710

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. Mrs Mackenzie Price 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
Mrs Mackenzie Price Ennis, CRNA 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -	Mrs Mackenzie Price Ennis, CRNA 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roanoke, VA

Mrs. Terry Lea Yeager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Fourth Floor, Dept. Of Anesthesia, Roanoke, VA 24014 Phone: 540-853-0222
Joshua Michael Rose, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000
Ms. Megan Tiffany, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855
Mr. Harrison Johnston Shull Iii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-857-5363
Brian A Fedorchak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855
Amanda Dillen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222
Michael Christopher Beaudoin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-312-4461

Mrs Mackenzie Price Ennis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Roanoke, VA