| Dr Kelly Ennix King, MD | |
|
935 Oakfield Dr, Brandon, FL 33511-4935 | |
| (813) 651-3492 | |
| Not Available |
| Full Name | Dr Kelly Ennix King |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 935 Oakfield Dr, Brandon, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114998606 | NPI | - | NPPES |
| 009385100 | Medicaid | CA | |
| 009385100 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oak Valley Hospital District | Oakdale, CA | Hospital |
| Oakdale Nursing And Rehabilitation Center | Oakdale, CA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plushcare Of California Inc A Professional Corporation | 2365707163 | 162 |
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20200623002172 |
| Entity Name | Plushcare Of California Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811378987 PECOS PAC ID: 2365707163 Enrollment ID: O20210930000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Ennix King, MD 11113 Coventry Grove Cir, Lithia, FL 33547-4924 Ph: (813) 244-4741 | Dr Kelly Ennix King, MD 935 Oakfield Dr, Brandon, FL 33511-4935 Ph: (813) 651-3492 |
Nazif Ahmed Chowdhury, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 876 S Parsons Ave, Brandon, FL 33511 Phone: 813-653-3359 Fax: 813-662-9639 | |
Mrs. Margarita Maria Vanegas, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Tilisha Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 Fax: 813-916-2944 | |
Enzo Andre Nicosia, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 |