Dr Kanishka Chakraborty, MD in Johnson City, TN

Dr Kanishka Chakraborty, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Johnson City, Tennessee. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Medical Oncology. He is a member of the group practice Mountain States Health Alliance, Blue Ridge Medical Management Corporation and his current practice location is 1 Professional Park Dr, Suite 21, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 232-6900.

Dr Kanishka Chakraborty is licensed to practice in Tennessee (license number 47679) 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 1992993760.

Contact Information

	Dr Kanishka Chakraborty, MD
	1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587
	(423) 232-6900
	(423) 232-6903

Map and Direction

Physician's Profile

Full Name	Dr Kanishka Chakraborty
Gender	Male
Speciality	Medical Oncology
Experience	21 Years
Location	1 Professional Park Dr, Johnson City, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kanishka Chakraborty graduated from medical school in 2003

NPI Data:

NPI Number: 1992993760
Provider Enumeration Date: 10/05/2007
Last Update Date: 01/12/2024

Medicare PECOS Information:

PECOS PAC ID: 9335397447
Enrollment ID: I20120914000515

Medical Identifiers

Medical identifiers for Dr Kanishka Chakraborty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992993760	NPI	-	NPPES
1992993760	Medicaid	VA
1529715	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	47679 (Tennessee)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	47679 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson City Medical Center	Johnson city, TN	Hospital
Franklin Woods Community Hospital	Johnson city, TN	Hospital
Unicoi County Hospital	Erwin, TN	Hospital
Wellmont Bristol Regional Medical Center	Bristol, TN	Hospital
Sycamore Shoals Hospital	Elizabethton, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain States Health Alliance	6002726718	19
Blue Ridge Medical Management Corporation	9739099441	308

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 Kanishka Chakraborty allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

Entity Name	Mountain States Health Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205846508 PECOS PAC ID: 6002726718 Enrollment ID: O20040415001070

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 Kanishka Chakraborty 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 Kanishka Chakraborty, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	Dr Kanishka Chakraborty, MD 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 Ph: (423) 232-6900

Reviews and Comments

Internal Medicine Doctors in Johnson City, TN

Dr. Alan Cox, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268
Dr. Sheeba Anand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283
Dr. Charles Famoyin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674
Robert Taylor Means Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, 2nd Floor, Johnson City, TN 37604 Phone: 423-439-7280 Fax: 423-439-7314
Dr. Tariq Ziad Haddadin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838
Timothy O Mcbride, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060
John M Daniel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353

Dr Kanishka Chakraborty, MD - Medicare Medical Oncology in Johnson City, TN