Dr Kenneth Dale Macknet Jr, MD is a medicare enrolled "Dermatology" physician in Smyrna, Tennessee. He went to Loma Linda University School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Skin Solutions Dermatology And Skin Cancer Surgery, P.c. and his current practice location is
617 Potomac Pl Ste 402, Smyrna, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 462-7682.
Dr Kenneth Dale Macknet Jr is licensed to practice in California (license number A63594) 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 1922199306.
Physician's Profile
| Full Name | Dr Kenneth Dale Macknet Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 29 Years |
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| Location | 617 Potomac Pl Ste 402, Smyrna, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth Dale Macknet Jr attended and graduated from Loma Linda University School Of Medicine in 1996
NPI Data:
- NPI Number: 1922199306
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 11/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 9133222052
- Enrollment ID: I20241209000951
Medical Identifiers
Medical identifiers for Dr Kenneth Dale Macknet Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922199306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | A63594 (California) | Primary |
| 207NP0225X | Dermatology - Pediatric Dermatology | A63594 (California) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | A63594 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A63594 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Skin Solutions Dermatology And Skin Cancer Surgery, P.c. | 8820064140 | 25 |
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 Kenneth Dale Macknet Jr allows following entities to bill medicare on his behalf.
| Entity Name | Skin Solutions Dermatology & Skin Cancer Surgery, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215940366
PECOS PAC ID: 8820064140
Enrollment ID: O20040908001085 |
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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 Kenneth Dale Macknet Jr 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 |
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Dr Kenneth Dale Macknet Jr, MD
625 Bakers Bridge Ave Ste 105-226,
Franklin, TN 37067-1613
Ph: (615) 462-7682 | Dr Kenneth Dale Macknet Jr, MD
617 Potomac Pl Ste 402,
Smyrna, TN 37167-5657
Ph: (615) 462-7682 |
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