| Dr Khama D Ennis, MD, MPH | |
|
150 Infirmary Way, Amherst, MA 01003-9288 | |
| (413) 577-5152 | |
| Not Available |
| Full Name | Dr Khama D Ennis |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 150 Infirmary Way, Amherst, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669453973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 223355 (Massachusetts) | Primary |
| Entity Name | Mass General Brigham Medical Group Western Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290 |
| Entity Name | Vineyard Complementary Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053490896 PECOS PAC ID: 2860435005 Enrollment ID: O20170310000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Khama D Ennis, MD, MPH 26 S Prospect St Ste 7, Amherst, MA 01002-2268 Ph: (413) 800-6968 | Dr Khama D Ennis, MD, MPH 150 Infirmary Way, Amherst, MA 01003-9288 Ph: (413) 577-5152 |
Gregory W. Little, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Infirmary Way, Amherst, MA 01003 Phone: 413-577-5000 Fax: 413-577-5440 | |
David H Nielsen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17 Stagecoach Rd, Amherst, MA 01002 Phone: 413-253-3842 |