Andrew Kenneth Ence, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in St George, Utah. His current practice location is
2825 E Mall Dr, St George, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 628-9393.
Andrew Kenneth Ence is licensed to practice in Utah (license number 12699267-1205) 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 1184072902.
Physician's Profile
Full Name | Andrew Kenneth Ence |
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Gender | Male |
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Speciality | Plastic Surgery - Surgery Of The Hand |
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Location | 2825 E Mall Dr, St George, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184072902
- Provider Enumeration Date: 06/02/2016
- Last Update Date: 03/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335429760
- Enrollment ID: I20220706003453
Medical Identifiers
Medical identifiers for Andrew Kenneth Ence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184072902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | MMD.39395 LL (South Carolina) | Secondary |
207X00000X | Orthopaedic Surgery | 0116034959 (Virginia) | Secondary |
207X00000X | Orthopaedic Surgery | 12699267-1205 (Utah) | Secondary |
2082S0105X | Plastic Surgery - Surgery Of The Hand | 12699267-1205 (Utah) | Primary |
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. Andrew Kenneth Ence allows following entities to bill medicare on his behalf.
Entity Name | Central Utah Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
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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. Andrew Kenneth Ence 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 |
Andrew Kenneth Ence, MD 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Andrew Kenneth Ence, MD 2825 E Mall Dr, St George, UT 84790-1954 Ph: (435) 628-9393 |
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