Marika C Ennis, MD - Medicare Emergency Medicine in San Jose, CA

Marika C Ennis, MD is a medicare enrolled "Emergency Medicine" physician in San Jose, California. She went to University Of California, Davis School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Providence Medical Foundation and her current practice location is 751 South Bascom Ave, Department Of Emergency Medicine, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 885-2334.

Marika C Ennis is licensed to practice in California (license number A125624) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215249214.

Contact Information

Marika C Ennis, MD
751 South Bascom Ave, Department Of Emergency Medicine,
San Jose, CA 95128
(408) 885-2334
Not Available



Physician's Profile

Full NameMarika C Ennis
GenderFemale
SpecialityEmergency Medicine
Experience14 Years
Location751 South Bascom Ave, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marika C Ennis attended and graduated from University Of California, Davis School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1215249214
  • Provider Enumeration Date: 07/07/2010
  • Last Update Date: 10/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486897444
  • Enrollment ID: I20130823000896

Medical Identifiers

Medical identifiers for Marika C Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215249214NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R72194 (Arizona)Secondary
207P00000XEmergency Medicine A125624 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalEureka, CAHospital
Redwood Memorial HospitalFortuna, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051293

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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. Marika C Ennis allows following entities to bill medicare on her behalf.
Entity NamePacific Redwood Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033103676
PECOS PAC ID: 5496652703
Enrollment ID: O20031215000997

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Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784

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Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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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. Marika C 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
Marika C Ennis, MD
751 South Bascom Ave, Department Of Emergency Medicine,
San Jose, CA 95128

Ph: (408) 885-2334
Marika C Ennis, MD
751 South Bascom Ave, Department Of Emergency Medicine,
San Jose, CA 95128

Ph: (408) 885-2334

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› Verified 5 days ago


Emergency Medicine Doctors in San Jose, CA

Anna Nguyen, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2105 Forest Ave, San Jose, CA 95128
Phone: 408-947-2500    
Shalin Hira Patel, M.D
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 225 N Jackson Ave, San Jose, CA 95116
Phone: 408-923-7121    
Tony Hue-dan Yuan, M.D
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 225 North Jackson Avenue, San Jose, CA 94608
Phone: 510-350-2777    
Rhys Vincent Dapar, M.D
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2425 Samaritan Drive, San Jose, CA 95124
Phone: 408-559-2011    
Xiao Wang,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 Hospital Pkwy, San Jose, CA 95119
Phone: 408-362-4740    
Thomas Gildea, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2105 Forest Ave, San Jose, CA 95128
Phone: 408-947-2500    
Jacob Benford, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 225 North Jackson Avenue, San Jose, CA 95116
Phone: 408-923-7121    

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