Keith Ennis, MD - Medicare Emergency Medicine in Kokomo, IN

Keith Ennis, MD is a medicare enrolled "Family Medicine" physician in Kokomo, Indiana. He went to Indiana University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Vincent Physician Services Hospital And Health Care Center and his current practice location is 1907 W Sycamore St, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 456-5433.

Keith Ennis is licensed to practice in Indiana (license number 01040472A) 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 1033292628.

Contact Information

Keith Ennis, MD
1907 W Sycamore St,
Kokomo, IN 46901-5148
(765) 456-5433
Not Available



Physician's Profile

Full NameKeith Ennis
GenderMale
SpecialityEmergency Medicine
Experience33 Years
Location1907 W Sycamore St, Kokomo, Indiana
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:
  • Keith Ennis attended and graduated from Indiana University School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1033292628
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 06/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608971809
  • Enrollment ID: I20070417000470

Medical Identifiers

Medical identifiers for Keith Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033292628NPI-NPPES
200014450EMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01040472A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent KokomoKokomo, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Physician Services Hospital And Health Care Center9638072184216

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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. Keith Ennis allows following entities to bill medicare on his behalf.
Entity NameSt Vincent Physician Services Hospital And Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669422234
PECOS PAC ID: 9638072184
Enrollment ID: O20040223001092

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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. Keith 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
Keith Ennis, MD
1907 W Sycamore St,
Kokomo, IN 46901-5148

Ph: () -
Keith Ennis, MD
1907 W Sycamore St,
Kokomo, IN 46901-5148

Ph: (765) 456-5433

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Family Medicine Doctors in Kokomo, IN

Dr. Eric Tuchscherer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1907 W Sycamore St, Kokomo, IN 46901
Phone: 765-456-5433    
Akira Barhams, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3508 S Lafountain St, Kokomo, IN 46902
Phone: 765-864-8700    Fax: 765-864-8715
Dr. David Alan Cheesman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1907 W Sycamore St, Kokomo, IN 46901
Phone: 765-456-5433    
William Mohr, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2330 S Dixon Rd, Kokomo, IN 46902
Phone: 765-455-5400    Fax: 765-865-3912
Emily A Backer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 408 E Southway Blvd, Kokomo, IN 46902
Phone: 765-865-3300    Fax: 765-865-3306
Dr. Rose Paul,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 138 N Dixon Rd, Kokomo, IN 46901
Phone: 765-236-8282    

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