Jack Ennis, PSYD, HSPP in Indianapolis, IN - Medicare Clinical Psychologist Provider

Jack Ennis, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Indianapolis, Indiana. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Hamilton Center, Inc. and his current practice location is 2160 N Illinois St, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 937-3700.

Jack Ennis is licensed to practice in Indiana (license number 20040742) 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 1194773028.

Contact Information

	Jack Ennis, PSYD, HSPP
	2160 N Illinois St, Indianapolis, IN 46202-1334
	(317) 937-3700
	(317) 937-3710

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Ennis
Gender	Male
Speciality	Clinical Psychologist
Experience	34 Years
Location	2160 N Illinois St, Indianapolis, Indiana
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:

Jack Ennis graduated from medical school in 1990

NPI Data:

NPI Number: 1194773028
Provider Enumeration Date: 05/04/2006
Last Update Date: 03/15/2011

Medicare PECOS Information:

PECOS PAC ID: 6305020827
Enrollment ID: I20110407000518

Medical Identifiers

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

Identifier	Type	State	Issuer
1194773028	NPI	-	NPPES
200254160	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20040742 (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hamilton Center, Inc.	4284533662	32

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

Entity Name	Hamilton Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205980901 PECOS PAC ID: 4284533662 Enrollment ID: O20040105000638

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. Jack 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
Jack Ennis, PSYD, HSPP Po Box 4323, Terre Haute, IN 47804-0323 Ph: (812) 231-8323	Jack Ennis, PSYD, HSPP 2160 N Illinois St, Indianapolis, IN 46202-1334 Ph: (317) 937-3700

Reviews and Comments

Psychologist in Indianapolis, IN

Dr. Jennifer Holzman, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 E 91st St Ste 210, Indianapolis, IN 46240 Phone: 317-573-0149
Dr. Sarah A Landsberger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7300 Fax: 317-963-7325
Dr. William D. Alexy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N. Meridian, W.dr, Indianapolis, IN 46208 Phone: 317-255-3729 Fax: 317-255-3729
Dr. Yelena Chernyak, PH.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Room Uh 3240, Indianapolis, IN 46202 Phone: 317-944-7422 Fax: 317-944-1497
Tami S Krichiver, PSYD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208
Brigid R Marriott, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202 Phone: 317-944-8162 Fax: 317-948-0609
Dr. Lisa B Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6284 Rucker Rd, Suite N, Indianapolis, IN 46220 Phone: 317-475-1389 Fax: 317-475-9089

Jack Ennis, PSYD, HSPP - Medicare Psychologist in Indianapolis, IN