Kimberly Ennis, in Clinton, MS - Medicare Physical Therapy Provider

Kimberly Ennis, is a medicare enrolled "Physical Therapist" provider in Clinton, Mississippi. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Synergy Physical Therapy And Sports Medicine, Llc and her current practice location is 719 Clinton Pkwy, Ste B, Clinton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 924-7828.

Kimberly Ennis is licensed to practice in Mississippi (license number PT0390) 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 1750662078.

Contact Information

	Kimberly Ennis,
	719 Clinton Pkwy, Ste B, Clinton, MS 39056-5245
	(601) 924-7828
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ennis
Gender	Female
Speciality	Physical Therapy
Experience	43 Years
Location	719 Clinton Pkwy, Clinton, Mississippi
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:

Kimberly Ennis graduated from medical school in 1981

NPI Data:

NPI Number: 1750662078
Provider Enumeration Date: 08/31/2011
Last Update Date: 07/08/2016

Medicare PECOS Information:

PECOS PAC ID: 8022302736
Enrollment ID: I20160803001447

Medical Identifiers

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

Identifier	Type	State	Issuer
1750662078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT0390 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Synergy Physical Therapy And Sports Medicine, Llc	0042501025	3

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. Kimberly Ennis allows following entities to bill medicare on her behalf.

Provider Name	Synergy Physical Therapy & Sports Medicine, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245686575 PECOS PAC ID: 0042501025 Enrollment ID: O20160622001293

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. Kimberly 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
Kimberly Ennis, 719 Clinton Pkwy, Ste B, Clinton, MS 39056-5245 Ph: (601) 924-7828	Kimberly Ennis, 719 Clinton Pkwy, Ste B, Clinton, MS 39056-5245 Ph: (601) 924-7828

Reviews and Comments

Physical Therapist in Clinton, MS

Jordan Jenkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 E Northside Dr, Clinton, MS 39056 Phone: 601-924-0645 Fax: 601-607-1375
Andrew Lambert, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 703 Clinton Pkwy, Clinton, MS 39056 Phone: 601-708-4205
Erica Goldsmith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Clinton Pkwy Ste B, Clinton, MS 39056 Phone: 601-924-7828 Fax: 601-924-3979
Elite Sports Medicine & Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Clinton Pkwy, Suite B, Clinton, MS 39056 Phone: 601-924-7828 Fax: 601-924-3979
Mark Page Miller Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 703 Clinton Pkwy, Clinton, MS 39056 Phone: 601-708-4205 Fax: 601-708-4707
David M Gibbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 Merganser Trl, Clinton, MS 39056 Phone: 601-497-0107
Sarah Newell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 322 Highway 80 E Ste 10&11, Clinton, MS 39056 Phone: 601-460-0910 Fax: 601-460-0911

Kimberly Ennis, - Medicare Physical Therapist in Clinton, MS