| William Ennis Jr, PA | |
|
914a Eastern Shore Dr, Salisbury, MD 21804-6410 | |
| (410) 546-1331 | |
| (410) 543-8107 |
| Full Name | William Ennis Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 914a Eastern Shore Dr, Salisbury, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407199706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | C05019 (Maryland) | Primary |
| Entity Name | Eastern Shore Medical Center PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215075890 PECOS PAC ID: 7618969007 Enrollment ID: O20040402001293 |
| Entity Name | Ability Rehab Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356444590 PECOS PAC ID: 4284699406 Enrollment ID: O20041129000855 |
| Entity Name | Eastern Shore Eldercare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538021381 PECOS PAC ID: 1951877513 Enrollment ID: O20260421000683 |
| Mailing Address | Practice Location Address |
|---|---|
| William Ennis Jr, PA 914a Eastern Shore Dr, Salisbury, MD 21804-6410 Ph: (410) 546-1331 | William Ennis Jr, PA 914a Eastern Shore Dr, Salisbury, MD 21804-6410 Ph: (410) 546-1331 |
Ms. Marla Michelle Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Power St, Salisbury, MD 21804 Phone: 410-543-2060 Fax: 410-543-2051 |
Gian Aldous Poblete Flores, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1675 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-701-3327 |
Jessica Matthews Day-chrzaszcz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 659 S Salisbury Blvd, Suite 4, Salisbury, MD 21801 Phone: 410-543-9111 Fax: 410-543-9115 |
Mrs. Ashley Poole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 Milford St Ste 103, Salisbury, MD 21804 Phone: 410-749-1171 |
Lea Marie Barker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Glen Ave, Salisbury, MD 21804 Phone: 410-543-9111 Fax: 410-543-9115 |
Nicolas Alejandro Alfonso Baron, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-546-6400 |
Hannah R Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1675 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-701-3327 |