| Elizabeth Margaret Ennis, PA-C | |
|
550 Pope Ave Nw Ste 200, Winter Haven, FL 33881-4679 | |
| (863) 299-2630 | |
| Not Available |
| Full Name | Elizabeth Margaret Ennis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 550 Pope Ave Nw Ste 200, Winter Haven, 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 |
|---|---|---|---|
| 1063733376 | NPI | - | NPPES |
| 342264 | Other | FL | AVMED |
| PAX 0008401 | Other | FL | DOH PRESCRIBING |
| YO5FR | Other | FL | BCBS |
| 1780221774 | Other | NRCME | |
| PA-9105563 | Other | FL | DEPARTMENT OF HEALTH |
| 002747500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9105563 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oviedo Medical Center | Oviedo, FL | Hospital |
| Hca Florida Lawnwood Hospital | Fort pierce, FL | Hospital |
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 513 |
| Accountable Inpatient Medicine | 5597090274 | 51 |
| Entity Name | Accountable Inpatient Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659936870 PECOS PAC ID: 5597090274 Enrollment ID: O20190717003010 |
| Entity Name | Hospital Medicine Services of FL, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Margaret Ennis, PA-C 5536 Ansley Way, Mount Dora, FL 32757-8000 Ph: (352) 400-8457 | Elizabeth Margaret Ennis, PA-C 550 Pope Ave Nw Ste 200, Winter Haven, FL 33881-4679 Ph: (863) 299-2630 |
Heather Bonifay Nelson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 151 2nd St Sw, Winter Haven, FL 33880 Phone: 863-288-0960 Fax: 863-288-0963 |
Mr. Lazaro Yadier Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881 Phone: 863-297-1777 Fax: 863-297-1756 |
Dr. Wilson Omar Rodriguez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 217 E Central Ave, Winter Haven, FL 33880 Phone: 407-315-3637 |
Shyam Kumar Rajendra Injety, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 |
Erin Doucey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 6th Street Se, Winter Haven, FL 33880 Phone: 863-419-9301 Fax: 863-419-9304 |
Mario Teodoro Rankin, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 1st Street North, Winter Haven, FL 33881 Phone: 863-299-2420 Fax: 863-299-2460 |
Mrs. Kecia S Powell, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-297-1800 |