Dr Kenneth E Embry Iii, MD is a medicare enrolled "General Practice" physician in Bartlett, Tennessee. His current practice location is
3091 Kirby Whitten Pkwy, Bartlett, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 752-6963.
Dr Kenneth E Embry Iii is licensed to practice in Tennessee (license number 24112) 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 1245328624.
Physician's Profile
| Full Name | Dr Kenneth E Embry Iii |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 3091 Kirby Whitten Pkwy, Bartlett, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245328624
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 05/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 0446374466
- Enrollment ID: I20130612000147
Medical Identifiers
Medical identifiers for Dr Kenneth E Embry Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245328624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 17296 (Kentucky) | Secondary |
| 208D00000X | General Practice | 24112 (Tennessee) | Primary |
| 208D00000X | General Practice | 17296 (Kentucky) | Secondary |
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 E Embry Iii 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 Kenneth E Embry Iii, MD 2859 Van Leer Drive, Memphis, TN 38133 Ph: (901) 751-5513 | Dr Kenneth E Embry Iii, MD 3091 Kirby Whitten Pkwy, Bartlett, TN 38134 Ph: (901) 752-6963 |
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