Mr Craig A Ennis, MD - Medicare Internal Medicine in Clarksville, TN

Mr Craig A Ennis, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Clarksville, Tennessee. He went to University Of California, San Diego School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Clarksville Physician Services Gp and his current practice location is 647 Dunlop Ln, 210, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 502-3810.

Mr Craig A Ennis is licensed to practice in Tennessee (license number 54629) 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 1295742120.

Contact Information

Mr Craig A Ennis, MD
647 Dunlop Ln, 210,
Clarksville, TN 37040-5165
(931) 502-3810
(931) 502-3815



Physician's Profile

Full NameMr Craig A Ennis
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location647 Dunlop Ln, Clarksville, Tennessee
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:
  • Mr Craig A Ennis attended and graduated from University Of California, San Diego School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1295742120
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 09/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769546605
  • Enrollment ID: I20160728002600

Medical Identifiers

Medical identifiers for Mr Craig A Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295742120NPI-NPPES
00G726930MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology G72693 (California)Secondary
207RG0100XInternal Medicine - Gastroenterology 54629 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Healthcare-clarksvilleClarksville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clarksville Physician Services Gp054727691724

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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. Mr Craig A Ennis allows following entities to bill medicare on his behalf.
Entity NameClarksville Physician Services Gp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083657829
PECOS PAC ID: 0547276917
Enrollment ID: O20060223000133

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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. Mr Craig A 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
Mr Craig A Ennis, MD
647 Dunlop Ln, 210,
Clarksville, TN 37040-5165

Ph: (931) 502-3810
Mr Craig A Ennis, MD
647 Dunlop Ln, 210,
Clarksville, TN 37040-5165

Ph: (931) 502-3810

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Internal Medicine Doctors in Clarksville, TN

Oba Hashim Hollie, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 511 8th St, Clarksville, TN 37040
Phone: 931-245-3580    Fax: 931-201-5868
Jigar Kanubhai Shah, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 274 Clear Sky Ct, Clarksville Cancer Care, Clarksville, TN 37043
Phone: 931-802-8056    Fax: 931-802-8059
Dr. Fausta Ditah,
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 647 Dunlop Ln Ste 210, Clarksville, TN 37040
Phone: 931-502-3810    Fax: 931-502-3815
Nathan Lidsky, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1481 Hollis Rdg, Clarksville, TN 37043
Phone: 847-987-2121    
James R Smith, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 344 Peartree Dr, Clarksville, TN 37043
Phone: 931-648-1811    
Dr. Sriram Krishnasamy, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 298 Clear Sky Ct, Suite B, Clarksville, TN 37043
Phone: 931-542-2647    Fax: 931-542-2648
Vernon M Carrigan, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 490 Dunlop Ln, Clarksville, TN 37040
Phone: 931-245-8300    Fax: 931-245-8360

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