Dr Kristopher Lee Hasstedt, DDS in Knoxville, TN

Dr Kristopher Lee Hasstedt, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Knoxville, Tennessee. His current practice location is 111 Fox Rd Ste 201, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 381-8867.

Dr Kristopher Lee Hasstedt is licensed to practice in Tennessee (license number 11999) 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 1649511585.

Contact Information

	Dr Kristopher Lee Hasstedt, DDS
	111 Fox Rd Ste 201, Knoxville, TN 37922-9000
	(865) 381-8867
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kristopher Lee Hasstedt
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	111 Fox Rd Ste 201, Knoxville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649511585
Provider Enumeration Date: 03/01/2013
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8921350869
Enrollment ID: I20181004000838

Medical Identifiers

Medical identifiers for Dr Kristopher Lee Hasstedt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649511585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D14322 (Minnesota)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN015992 (Georgia)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	11999 (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 Kristopher Lee Hasstedt allows following entities to bill medicare on his behalf.

Entity Name	Tyler Oral & Facial Surgery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568654077 PECOS PAC ID: 0446272306 Enrollment ID: O20051220000984

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 Kristopher Lee Hasstedt 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 Kristopher Lee Hasstedt, DDS 1911 Mobley Way Apt 100, Knoxville, TN 37922-2272 Ph: (515) 450-3384	Dr Kristopher Lee Hasstedt, DDS 111 Fox Rd Ste 201, Knoxville, TN 37922-9000 Ph: (865) 381-8867

Reviews and Comments

Dentist in Knoxville, TN

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Evan James Agnetta, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6311 Kingston Pike Ste 26w, Knoxville, TN 37919 Phone: 208-761-1210
Tessa Johnson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7418 Norris Fwy, Knoxville, TN 37938 Phone: 865-685-5006
Christopher R Brown, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 301 W Young High Pike, Knoxville, TN 37920 Phone: 865-573-2992
Dr. Bradley William White, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1912 Pinnacle Pointe Way, Knoxville, TN 37922 Phone: 865-573-4593 Fax: 865-444-2938

Dr Kristopher Lee Hasstedt, DDS - Medicare Dentist in Knoxville, TN