Kyle Boden, MD in Maryville, TN - Medicare Sports Medicine

Kyle Boden, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Maryville, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Orthotennessee, Pc and his current practice location is 827 E Lamar Alexander Pkwy, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 984-0900.

Kyle Boden is licensed to practice in Tennessee (license number 71179) 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 1134624901.

Contact Information

	Kyle Boden, MD
	827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001
	(865) 984-0900
	(865) 984-1035

Map and Direction

Physician's Profile

Full Name	Kyle Boden
Gender	Male
Speciality	Sports Medicine
Experience	7 Years
Location	827 E Lamar Alexander Pkwy, Maryville, 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:

Kyle Boden attended and graduated from East Tennessee State University Quillen College Of Medicine in 2018

NPI Data:

NPI Number: 1134624901
Provider Enumeration Date: 03/26/2018
Last Update Date: 02/04/2025

Medicare PECOS Information:

PECOS PAC ID: 7719215615
Enrollment ID: I20240625002396

Medical Identifiers

Medical identifiers for Kyle Boden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134624901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	71179 (Tennessee)	Secondary
207XX0005X	Orthopaedic Surgery - Sports Medicine	71179 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Blount Memorial Hospital	Maryville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthotennessee, Pc	3476453572	153

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. Kyle Boden allows following entities to bill medicare on his behalf.

Entity Name	Orthotennessee, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518049592 PECOS PAC ID: 3476453572 Enrollment ID: O20040113000622

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. Kyle Boden 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
Kyle Boden, MD 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 Ph: (865) 984-0900	Kyle Boden, MD 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 Ph: (865) 984-0900

Reviews and Comments

Orthopaedic Surgery Doctors in Maryville, TN

Dr. Eric A Morgan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1806 Wilkinson Pike, Maryville, TN 37803 Phone: 865-599-2396
Dr. Brandon Shane Asbury, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 827 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-984-0900 Fax: 865-984-1035
Dr. William Kenneth Bell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 827 Lamar Alexander Pkwy, Maryville, TN 37802 Phone: 865-984-0900 Fax: 865-984-1035
Dr. Jay Wesley Winn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 827 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-984-0900 Fax: 865-984-1035
Dr. Michael Lyle Campbell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 827 Lamar Alexander Pkwy, Maryville, TN 37802 Phone: 865-984-0900 Fax: 865-984-1035
Dr. Todd Robert Griffith, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 827 Lamar Alexander Pkwy, Maryville, TN 37802 Phone: 865-984-0900 Fax: 865-984-1035

Kyle Boden, MD - Medicare Sports Medicine in Maryville, TN