Jared Ennis, MD - Medicare Interventional Pain Management in Fayetteville, AR

Jared Ennis, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fayetteville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Interventional Pain Specialists Of Nwa Pllc and his current practice location is 4019 N Remington Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 595-8192.

Jared Ennis is licensed to practice in Arkansas (license number E-4271) 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 1467539155.

Contact Information

Jared Ennis, MD
4019 N Remington Dr,
Fayetteville, AR 72703-6344
(479) 595-8192
(479) 442-1748



Physician's Profile

Full NameJared Ennis
GenderMale
SpecialityInterventional Pain Management
Experience23 Years
Location4019 N Remington Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jared Ennis attended and graduated from University Of Arkansas College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1467539155
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 03/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476598756
  • Enrollment ID: I20050627001203

Medical Identifiers

Medical identifiers for Jared Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467539155NPI-NPPES
157891001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine E-4271 (Arkansas)Primary
207L00000XAnesthesiology E-4271 (Arkansas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Siloam Springs Regional HospitalSiloam springs, ARHospital
Washington Regional Medical CenterFayetteville, ARHospital
Northwest Medical Center-springdaleSpringdale, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Interventional Pain Specialists Of Nwa Pllc69010815382

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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. Jared Ennis allows following entities to bill medicare on his behalf.
Entity NameInterventional Pain Specialists Of Nwa Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295032407
PECOS PAC ID: 6901081538
Enrollment ID: O20110426000462

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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. Jared 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
Jared Ennis, MD
4019 N Remington Dr,
Fayetteville, AR 72703-6344

Ph: (479) 595-8192
Jared Ennis, MD
4019 N Remington Dr,
Fayetteville, AR 72703-6344

Ph: (479) 595-8192

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Pain Medicine Doctors in Fayetteville, AR

Jason Holt, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4019 N Remington Dr, Fayetteville, AR 72703
Phone: 479-595-8192    Fax: 479-442-1748

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