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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