Dr Ted W Hagen Ii, DMIN PHD in Kingsport, TN - Medicare Marriage & Family Therapist Provider

Dr Ted W Hagen Ii, DMIN PHD is a medicare enrolled "Marriage & Family Therapist" provider in Kingsport, Tennessee. His current practice location is 1201 N Wilcox Dr Ste C, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 765-6276.

Dr Ted W Hagen Ii is licensed to practice in Tennessee (license number 0000069) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497717508.

Contact Information

	Dr Ted W Hagen Ii, DMIN PHD
	1201 N Wilcox Dr Ste C, Kingsport, TN 37660-4986
	(423) 765-6276
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ted W Hagen Ii
Gender	Male
Speciality	Marriage & Family Therapist
Location	1201 N Wilcox Dr Ste C, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497717508
Provider Enumeration Date: 04/04/2006
Last Update Date: 07/20/2025

Medicare PECOS Information:

PECOS PAC ID: 0143280115
Enrollment ID: I20240123002686

Medical Identifiers

Medical identifiers for Dr Ted W Hagen Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497717508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	0000069 (Tennessee)	Primary

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. Dr Ted W Hagen Ii allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Neuroscience Center, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871502880 PECOS PAC ID: 8224090519 Enrollment ID: O20041029000127

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. Dr Ted W Hagen Ii 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
Dr Ted W Hagen Ii, DMIN PHD 1201 N Wilcox Dr Ste C, Kingsport, TN 37660-4986 Ph: (423) 765-6276	Dr Ted W Hagen Ii, DMIN PHD 1201 N Wilcox Dr Ste C, Kingsport, TN 37660-4986 Ph: (423) 765-6276

Reviews and Comments

Marriage & Family Therapist in Kingsport, TN

Brenda Hults, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2991 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-392-2975 Fax: 423-392-2983
David R Barlow, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2001 E Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023
Ms. Cecilie B Aderholdt, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-467-3644
Lauri Jo Cranford, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 229 E Center St, Kingsport, TN 37660 Phone: 423-530-7042
Ms. Mary Kathleen O'keeffe, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-467-3644
Mr. Luther Gordon Brewer Jr., M.ED., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1417 Warpath Dr, Suite B, Kingsport, TN 37664 Phone: 423-571-7423 Fax: 888-395-1262
Amy French, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1417 Warpath Dr, Suite B, Kingsport, TN 37664 Phone: 423-276-3880

Dr Ted W Hagen Ii, DMIN PHD - Medicare Couples Therapy in Kingsport, TN