Kenneth W Starnes, PA - Medicare Physician Assistant in Piney Flats, TN

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Kenneth W Starnes, PA is a medicare enrolled "Physician Assistant" in Piney Flats, Tennessee. His current practice location is 6419 Bristol Hwy, Piney Flats, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 538-5202.

Kenneth W Starnes is licensed to practice in Georgia (license number 11023) 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 1003904723.

Contact Information

Kenneth W Starnes, PA
6419 Bristol Hwy,
Piney Flats, TN 37686-5208
(423) 538-5202
(423) 538-8208

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Provider's Profile

Full NameKenneth W Starnes
GenderMale
SpecialityPhysician Assistant
Location6419 Bristol Hwy, Piney Flats, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003904723
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 07/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860593035
  • Enrollment ID: I20070718000758

Medical Identifiers

Medical identifiers for Kenneth W Starnes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003904723NPI-NPPES
1506303MedicaidTN
P0141826OtherTNRR MDCR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA1414 (Tennessee)Secondary
363A00000XPhysician Assistant 11023 (Georgia)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. Kenneth W Starnes allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameEmergency Coverage LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666
Entity NameApp of Tennessee Ed PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameUrgent Family Care, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093139339
PECOS PAC ID: 5496988750
Enrollment ID: O20140512002126
Entity NameTri-cities Regional Emergency Physicians, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399
Entity NameTri-cities Observation Services, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860146
PECOS PAC ID: 3274819719
Enrollment ID: O20170417001080

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. Kenneth W Starnes 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 AddressPractice Location Address
Kenneth W Starnes, PA
6419 Bristol Hwy,
Piney Flats, TN 37686-5208

Ph: (423) 538-5202		Kenneth W Starnes, PA
6419 Bristol Hwy,
Piney Flats, TN 37686-5208

Ph: (423) 538-5202

Reviews and Comments


Physician Assistant Nurses in Piney Flats, TN

Timothy R Zeolia, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686
Phone: 423-538-5202    Fax: 423-538-8208

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.