Mrs Teresa Marie Ennis-decker, OD is a medicare enrolled "Optometrist" provider in Millington, Michigan. Her current practice location is
9575 State Rd, Millington, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 871-9552.
Mrs Teresa Marie Ennis-decker is licensed to practice in Michigan (license number 4901003316) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154322956.
Healthcare Provider's Profile
Full Name | Mrs Teresa Marie Ennis-decker |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 9575 State Rd, Millington, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Teresa Marie Ennis-decker attended and graduated from in
NPI Data:
- NPI Number: 1154322956
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 07/03/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Teresa Marie Ennis-decker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154322956 | NPI | - | NPPES |
4743819 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901003316 (Michigan) | 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. Mrs Teresa Marie Ennis-decker 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 Teresa Marie Ennis-decker, OD 9575 State Rd, Millington, MI 48746-9482 Ph: (989) 871-9552 | Mrs Teresa Marie Ennis-decker, OD 9575 State Rd, Millington, MI 48746-9482 Ph: (989) 871-9552 |
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