Mr Everol M Ennis Jr, APRN in Rocky Hill, CT - Medicare Nurse Practitioner

Mr Everol M Ennis Jr, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Rocky Hill, Connecticut. His current practice location is 400 Capital Blvd, Suite 3-134, Rocky Hill, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 227-1343.

Mr Everol M Ennis Jr is licensed to practice in Connecticut (license number 004168) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205069614.

Contact Information

	Mr Everol M Ennis Jr, APRN
	400 Capital Blvd, Suite 3-134, Rocky Hill, CT 06067-3576
	(860) 227-1343
	Not Available

Provider's Profile

Full Name	Mr Everol M Ennis Jr
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	400 Capital Blvd, Rocky Hill, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205069614
Provider Enumeration Date: 09/01/2009
Last Update Date: 05/09/2014

Medicare PECOS Information:

PECOS PAC ID: 3971631870
Enrollment ID: I20140304001676

Medical Identifiers

Medical identifiers for Mr Everol M Ennis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205069614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	004168 (Connecticut)	Primary

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 Everol M Ennis Jr 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 Address	Practice Location Address
Mr Everol M Ennis Jr, APRN 196 Woodland Dr, Cheshire, CT 06410-1645 Ph: () -	Mr Everol M Ennis Jr, APRN 400 Capital Blvd, Suite 3-134, Rocky Hill, CT 06067-3576 Ph: (860) 227-1343

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Nurse Practitioner Nurses in Rocky Hill, CT

Irene G Topping, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 323 Cromwell Ave, Rocky Hill, CT 06067 Phone: 866-389-2727 Fax: 401-652-9787
Mr. Thomas A Bondarchuk, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1084 Cromwell Ave, Suite 202, Rocky Hill, CT 06067 Phone: 860-780-2002 Fax: 860-257-0147
Leeanne Lachapelle, A.P.R.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Enterprise Dr, Rocky Hill, CT 06067 Phone: 860-377-2272
Mr. Alfred Dean Rubino, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Enterprise Dr, Rocky Hill, CT 06067 Phone: 860-858-5089
Jennifer Fitzgerald, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Cromwell Avenue, Minute Clinic Llc, Rocky Hill, CT 06067 Phone: 866-389-2727
Mrs. Vanessa Siegrist, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Capital Blvd, Rocky Hill, CT 06067 Phone: 860-305-5420
Mrs. Sharon Beth Farah, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 323 Cromwell Ave, Rocky Hill, CT 06067 Phone: 860-563-9393 Fax: 860-563-6995

Mr Everol M Ennis Jr, APRN - Medicare Nurse Practitioner in Rocky Hill, CT