| Mrs Corey E Ennis, PA | |
|
1184 State Route 50, Ballston Lake, NY 12019-1923 | |
| (518) 384-1281 | |
| (518) 384-0321 |
| Full Name | Mrs Corey E Ennis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1184 State Route 50, Ballston Lake, New York |
| 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 |
|---|---|---|---|
| 1912392192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ellis Hospital | Schenectady, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Physicians Pllc | 8022904473 | 361 |
| Entity Name | Community Care Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366872244 PECOS PAC ID: 1759293111 Enrollment ID: O20140502000037 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1366872244 PECOS PAC ID: 1759293111 Enrollment ID: O20150618001757 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Corey E Ennis, PA 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Mrs Corey E Ennis, PA 1184 State Route 50, Ballston Lake, NY 12019-1923 Ph: (518) 384-1281 |
Julia Kristine Rutherford, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1184 State Route 50, Ballston Lake, NY 12019 Phone: 518-384-1281 Fax: 518-384-0321 |
Terri Anne Lefever, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1184 State Route 50, Ballston Lake, NY 12019 Phone: 518-384-1281 Fax: 518-384-0321 |
Jennifer Mcgetrick, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Charlton Rd, Ballston Lake, NY 12019 Phone: 518-399-7723 Fax: 518-399-6428 |
Kylie Draper Kroes, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1184 Route 50, Ballston Lake, NY 12019 Phone: 518-384-1281 Fax: 518-384-0321 |
James Anderson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 318 Ruhle Rd S, Ballston Lake, NY 12019 Phone: 518-899-4133 Fax: 518-899-5764 |