Dr Khama D Ennis, MD, MPH - Medicare Emergency Medicine in Amherst, MA

Dr Khama D Ennis, MD, MPH is a medicare enrolled "Emergency Medicine" physician in Amherst, Massachusetts. Her current practice location is 26 S Prospect St Ste 7, Amherst, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 800-6968.

Dr Khama D Ennis is licensed to practice in Massachusetts (license number 223355) 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 1669453973.

Contact Information

Dr Khama D Ennis, MD, MPH
26 S Prospect St Ste 7,
Amherst, MA 01002-2268
(413) 800-6968
Not Available



Physician's Profile

Full NameDr Khama D Ennis
GenderFemale
SpecialityEmergency Medicine
Location26 S Prospect St Ste 7, Amherst, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669453973
  • Provider Enumeration Date: 11/14/2005
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597768069
  • Enrollment ID: I20060823000238

Medical Identifiers

Medical identifiers for Dr Khama D Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669453973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 223355 (Massachusetts)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. Dr Khama D Ennis allows following entities to bill medicare on her behalf.
Entity NameCd Practice Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295787919
PECOS PAC ID: 2567359839
Enrollment ID: O20040302000290

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Entity NameVineyard Complementary Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053490896
PECOS PAC ID: 2860435005
Enrollment ID: O20170310000520

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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. Dr Khama D 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 AddressPractice Location Address
Dr Khama D Ennis, MD, MPH
26 S Prospect St Ste 7,
Amherst, MA 01002-2268

Ph: (413) 800-6968
Dr Khama D Ennis, MD, MPH
26 S Prospect St Ste 7,
Amherst, MA 01002-2268

Ph: (413) 800-6968

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Emergency Medicine Doctors in Amherst, MA

Gregory W. Little, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 150 Infirmary Way, Amherst, MA 01003
Phone: 413-577-5000    Fax: 413-577-5440
David H Nielsen, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 17 Stagecoach Rd, Amherst, MA 01002
Phone: 413-253-3842    

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