Jesse Ennis, PA-C in Homer, AK - Medicare Physician Assistant

Jesse Ennis, PA-C is a medicare enrolled "Physician Assistant" in Homer, Alaska. He went to Oregon Health Sciences University School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Goodland Regional Medical Center and his current practice location is 4201 Bartlett St, Homer, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 235-7000.

Jesse Ennis is licensed to practice in Alaska (license number 115396) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063810844.

Contact Information

	Jesse Ennis, PA-C
	4201 Bartlett St, Homer, AK 99603-7015
	(907) 235-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jesse Ennis
Gender	Male
Speciality	Physician Assistant
Experience	9 Years
Location	4201 Bartlett St, Homer, Alaska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jesse Ennis attended and graduated from Oregon Health Sciences University School Of Medicine in 2016

NPI Data:

NPI Number: 1063810844
Provider Enumeration Date: 12/10/2014
Last Update Date: 11/30/2016

Medicare PECOS Information:

PECOS PAC ID: 6507147923
Enrollment ID: I20240918001331

Medical Identifiers

Medical identifiers for Jesse Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063810844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	115396 (Alaska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Goodland Regional Medical Center	Goodland, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Goodland Regional Medical Center	3375535263	19

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. Jesse Ennis 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
Jesse Ennis, PA-C 4201 Bartlett St, Homer, AK 99603-7015 Ph: () -	Jesse Ennis, PA-C 4201 Bartlett St, Homer, AK 99603-7015 Ph: (907) 235-7000

Reviews and Comments

Physician Assistant Nurses in Homer, AK

Christine Masako Pratt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 880 East End Road, Homer, AK 99603 Phone: 907-226-2228
Kim I Loran, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 205 W Fairview Ave, Homer, AK 99603 Phone: 907-435-0555 Fax: 844-274-6970
Rebecca D Plymire, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4136 Bartlett St, Homer, AK 99603 Phone: 907-235-8586 Fax: 907-235-6639
Mrs. Ann Feige Anderson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4201 Bartlett St Ste 202, Homer, AK 99603 Phone: 907-235-7000 Fax: 907-235-4050
Nancy Marlene Mackey, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4201 Bartlett St Ste 202, Homer, AK 99603 Phone: 907-235-7000 Fax: 907-235-4050

Jesse Ennis, PA-C - Medicare Physician Assistant in Homer, AK