Sean Ennis, PT, DPT in Tustin, CA - Medicare Physical Therapy Provider

Sean Ennis, PT, DPT is a medicare enrolled "Physical Therapist" provider in Tustin, California. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Action Potential Llc and his current practice location is 13931 Carroll Way Ste B, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 988-8120.

Sean Ennis is licensed to practice in California (license number 300808) 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 1518639855.

Contact Information

	Sean Ennis, PT, DPT
	13931 Carroll Way Ste B, Tustin, CA 92780-1861
	(714) 988-8120
	(714) 988-8119

Map and Direction

Healthcare Provider's Profile

Full Name	Sean Ennis
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	13931 Carroll Way Ste B, Tustin, California
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:

Sean Ennis graduated from medical school in 2021

NPI Data:

NPI Number: 1518639855
Provider Enumeration Date: 10/05/2021
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 0547659708
Enrollment ID: I20240501002996

Medical Identifiers

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

Identifier	Type	State	Issuer
1518639855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	300808 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Action Potential Llc	1850605312	14

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

Provider Name	Action Potential Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831478692 PECOS PAC ID: 1850605312 Enrollment ID: O20150729007141

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. Sean 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
Sean Ennis, PT, DPT 3230 E Imperial Hwy Ste 100, Brea, CA 92821-6735 Ph: (714) 256-5074	Sean Ennis, PT, DPT 13931 Carroll Way Ste B, Tustin, CA 92780-1861 Ph: (714) 988-8120

Reviews and Comments

Physical Therapist in Tustin, CA

Mr. Kenneth Randy Pinkerton, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 365 W 1st St, Tustin, CA 92780 Phone: 714-544-5565 Fax: 714-544-5570
John Djerbaka, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17251 17th St, Ste. A&b, Tustin, CA 92780 Phone: 714-832-2273 Fax: 714-832-2272
Rachel Libonati, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2492 Walnut Ave, #140, Tustin, CA 92780 Phone: 714-544-2188
Mr. Alex Keuilian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13931 Carroll Way Ste B, Tustin, CA 92780 Phone: 714-988-8120 Fax: 714-988-8119
Jessica Phung, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2552 Walnut Ave Ste 130, Tustin, CA 92780 Phone: 714-508-1600
Rehab And Revive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 506, Tustin, CA 92780 Phone: 714-900-3880 Fax: 714-731-0932
Princess Roma Resplandor Malilim, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2205 Carob Way, Tustin, CA 92782 Phone: 714-224-8339

Sean Ennis, PT, DPT - Medicare Physical Therapist in Tustin, CA