Dr Mark Ellsworth Kleinman, MD in Kingsport, TN

Dr Mark Ellsworth Kleinman, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Kingsport, Tennessee. He went to New York University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Southeastern Retina Associates Pc, Southeastern Retina Associates Pc and his current practice location is 2412 N John B Dennis Hwy, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 578-4364.

Dr Mark Ellsworth Kleinman is licensed to practice in Kentucky (license number 44136) 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 1063676310.

Contact Information

	Dr Mark Ellsworth Kleinman, MD
	2412 N John B Dennis Hwy, Kingsport, TN 37660-4772
	(423) 578-4364
	(423) 578-4372

Map and Direction

Physician's Profile

Full Name	Dr Mark Ellsworth Kleinman
Gender	Male
Speciality	Ophthalmology
Experience	20 Years
Location	2412 N John B Dennis Hwy, Kingsport, 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 Mark Ellsworth Kleinman attended and graduated from New York University School Of Medicine in 2005

NPI Data:

NPI Number: 1063676310
Provider Enumeration Date: 07/16/2008
Last Update Date: 11/04/2025

Medicare PECOS Information:

PECOS PAC ID: 5092986703
Enrollment ID: I20180717002333

Medical Identifiers

Medical identifiers for Dr Mark Ellsworth Kleinman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063676310	NPI	-	NPPES
7100169870	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	44136 (Kentucky)	Secondary
207WX0107X	Ophthalmology - Retina Specialist	44136 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Retina Associates Pc	7517862360	21
Southeastern Retina Associates Pc	7517862360	21

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 Mark Ellsworth Kleinman allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Retina Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104097310 PECOS PAC ID: 7517862360 Enrollment ID: O20031204000507

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 Mark Ellsworth Kleinman 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 Mark Ellsworth Kleinman, MD 320 Prosperity Dr, Knoxville, TN 37923-4709 Ph: (423) 756-1512	Dr Mark Ellsworth Kleinman, MD 2412 N John B Dennis Hwy, Kingsport, TN 37660-4772 Ph: (423) 578-4364

Reviews and Comments

Ophthalmology Doctors in Kingsport, TN

Anthony D Seaton, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4 Sheridan Sq, Suite 102, Kingsport, TN 37660 Phone: 423-246-8196 Fax: 423-246-2308
Michael Allen Magee, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2412 N John B Dennis Hwy, Kingsport, TN 37660 Phone: 423-578-4364
John L Chapman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Suite 2c, Kingsport, TN 37660 Phone: 423-246-7372 Fax: 423-578-4369
Dr. Claxton Allen Baer, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2412 N John B Dennis Hwy, Kingsport, TN 37660 Phone: 865-338-5432
Dr. Cristoforo Larzo, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2412 N John B Dennis Hwy, Kingsport, TN 37660 Phone: 423-578-4364 Fax: 423-578-4372
Dr. Brandon David Lee, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 135 W Ravine Rd, Suite 2c, Kingsport, TN 37660 Phone: 423-246-7372 Fax: 423-578-4369

Dr Mark Ellsworth Kleinman, MD - Medicare Ophthalmology in Kingsport, TN