Mrs Kadian Sasha-gay Ennis, NURSE PRACTITIONER in Philadelphia, PA

Mrs Kadian Sasha-gay Ennis, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Care, Inc., Greater Philadelphia Health Action Inc and her current practice location is 1401 S 31st St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 925-2400.

Mrs Kadian Sasha-gay Ennis is licensed to practice in Pennsylvania (license number SP021495) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083911408.

Contact Information

	Mrs Kadian Sasha-gay Ennis, NURSE PRACTITIONER
	1401 S 31st St, Philadelphia, PA 19146-3506
	(215) 925-2400
	(215) 925-9162

Map and Direction

Provider's Profile

Full Name	Mrs Kadian Sasha-gay Ennis
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1401 S 31st St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kadian Sasha-gay Ennis graduated from nursing school in 2018

NPI Data:

NPI Number: 1083911408
Provider Enumeration Date: 02/21/2011
Last Update Date: 03/09/2020

Medicare PECOS Information:

PECOS PAC ID: 4880016740
Enrollment ID: I20250312000886

Medical Identifiers

Medical identifiers for Mrs Kadian Sasha-gay Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083911408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP021495 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Care, Inc.	9335040419	98
Greater Philadelphia Health Action Inc	9537064977	62

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. Mrs Kadian Sasha-gay Ennis allows following entities to bill medicare on her behalf.

Entity Name	Community Health Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700816816 PECOS PAC ID: 9335040419 Enrollment ID: O20040402000981

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. Mrs Kadian Sasha-gay 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
Mrs Kadian Sasha-gay Ennis, NURSE PRACTITIONER 1401 S 31st St Fl 2, Philadelphia, PA 19146-3506 Ph: (215) 925-9162	Mrs Kadian Sasha-gay Ennis, NURSE PRACTITIONER 1401 S 31st St, Philadelphia, PA 19146-3506 Ph: (215) 925-2400

Reviews and Comments

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Mrs Kadian Sasha-gay Ennis, NURSE PRACTITIONER - Medicare Nurse Practitioner in Philadelphia, PA