Keener B Ragsdale, MD is a medicare enrolled "Orthopaedic Surgery" physician in Martin, Tennessee. His current practice location is
164 Mount Pelia Rd, Martin, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 587-5900.
Keener B Ragsdale is licensed to practice in Tennessee (license number MD00000013458) 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 1730175043.
Physician's Profile
| Full Name | Keener B Ragsdale |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 164 Mount Pelia Rd, Martin, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730175043
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 07/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 7113024597
- Enrollment ID: I20070518000467
Medical Identifiers
Medical identifiers for Keener B Ragsdale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730175043 | NPI | - | NPPES |
| 77556 | Other | TN | BCBSTN |
| 40MD0013458 | Other | | UNITED HEALTH |
| 3015256 | Medicaid | TN | |
| 112377001 | Medicaid | AR | |
| 15175 | Medicaid | MS | |
| 2588782 | Other | | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | MD00000013458 (Tennessee) | Primary |
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. Keener B Ragsdale allows following entities to bill medicare on his behalf.
| Entity Name | Midsouth Independent Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861009326
PECOS PAC ID: 2668886722
Enrollment ID: O20210201001564 |
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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. Keener B Ragsdale 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 |
|---|
Keener B Ragsdale, MD
3249 W Sarazens Cir,
Memphis, TN 38125-0807
Ph: (901) 756-5565 | Keener B Ragsdale, MD
164 Mount Pelia Rd,
Martin, TN 38237-3812
Ph: (731) 587-5900 |
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