Justin C Kennon, MD - Medicare Orthopedic Surgery in Knoxville, TN

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Justin C Kennon, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Knoxville, Tennessee. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Champion Physical Therapy Llc Halls, Physiotherapy Associates Inc, Tennessee Orthopaedic Alliance Pa and his current practice location is 9430 Park West Blvd Ste 130, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 690-4861.

Justin C Kennon is licensed to practice in Tennessee (license number 58814) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104265099.

Contact Information

Justin C Kennon, MD
9430 Park West Blvd Ste 130,
Knoxville, TN 37923-4205
(865) 690-4861
(865) 560-8525

Map and Direction




Physician's Profile

Full NameJustin C Kennon
GenderMale
SpecialityOrthopedic Surgery
Experience11 Years
Location9430 Park West Blvd Ste 130, Knoxville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin C Kennon graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1104265099
  • Provider Enumeration Date: 06/24/2013
  • Last Update Date: 10/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709028855
  • Enrollment ID: I20190905001630

Medical Identifiers

Medical identifiers for Justin C Kennon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104265099NPI-NPPES
Q047643MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 58814 (Tennessee)Secondary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 58814 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkwest Medical CenterKnoxville, TNHospital
Blount Memorial HospitalMaryville, TNHospital
Roane Medical CenterHarriman, TNHospital
Wellpark At ShannondaleKnoxville, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Champion Physical Therapy Llc Halls1355416306241
Physiotherapy Associates Inc3577470442429
Tennessee Orthopaedic Alliance Pa5193625069308

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. Justin C Kennon allows following entities to bill medicare on his behalf.
Entity NameTennessee Orthopaedic Clinics, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851446017
PECOS PAC ID: 1456263771
Enrollment ID: O20031104000452
Entity NameTennessee Orthopaedic Alliance Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538153937
PECOS PAC ID: 5193625069
Enrollment ID: O20040109000069

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. Justin C Kennon 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 AddressPractice Location Address
Justin C Kennon, MD
Po Box 306556,
Nashville, TN 37230-6556

Ph: (865) 694-0062		Justin C Kennon, MD
9430 Park West Blvd Ste 130,
Knoxville, TN 37923-4205

Ph: (865) 690-4861

Reviews and Comments


Orthopaedic Surgery Doctors in Knoxville, TN

Charles Daniel Benson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 10800 Parkside Dr Ste 330, Knoxville, TN 37934
Phone: 865-218-7480    Fax: 865-218-7488
Dr. Michael C. Tompkins, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9430 Park West Blvd Ste 130, Knoxville, TN 37923
Phone: 865-690-4861    Fax: 865-560-8525
Dr. Herman G Botero, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1422 Old Weisgarber Rd, Knoxville, TN 37909
Phone: 865-558-4400    
Dr. Colin Douglas Booth, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9430 Park West Blvd Ste 130, Knoxville, TN 37923
Phone: 865-690-4861    Fax: 865-560-8525
Dr. Robert R. Madigan, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1422 Old Weisgarber Rd, Knoxville, TN 37909
Phone: 865-558-4400    Fax: 865-558-4471
Dr. Harold E Cates Jr., MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9430 Park West Blvd Ste 130, Knoxville, TN 37923
Phone: 865-690-4861    Fax: 865-560-8525
Dr. Wade Clayton Gobbell, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 9430 Park West Blvd Ste 130, Knoxville, TN 37923
Phone: 865-690-4861    Fax: 865-693-0338

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.