Savannah Clare Ennis, is a medicare enrolled "Physician Assistant" in Abita Springs, Louisiana. Her current practice location is
440 Trailhead Dr, Abita Springs, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(985) 630-1099.
Savannah Clare Ennis is licensed to practice in * (Not Available) (license number ) 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 1679335376.
Provider's Profile
Full Name | Savannah Clare Ennis |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 440 Trailhead Dr, Abita Springs, Louisiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679335376
- Provider Enumeration Date: 01/29/2024
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799218103
- Enrollment ID: I20241023004331
Medical Identifiers
Medical identifiers for Savannah Clare Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679335376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Savannah Clare 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 |
Savannah Clare Ennis, 440 Trailhead Dr, Abita Springs, LA 70420-4005 Ph: (985) 630-1099 | Savannah Clare Ennis, 440 Trailhead Dr, Abita Springs, LA 70420-4005 Ph: (985) 630-1099 |
Reviews and Comments