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

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

Map and Direction




Provider's Profile

Full NameMr Everol M Ennis Jr
GenderMale
SpecialityNurse Practitioner - Adult Health
Location400 Capital Blvd, Rocky Hill, Connecticut
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1205069614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse 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 AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.