Kyle Allan Hopper, is a medicare enrolled "Physician Assistant" in Milligan, Tennessee. His current practice location is
101 Neth Dr, Milligan, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 461-8700.
Kyle Allan Hopper is licensed to practice in * (Not Available) (license number ) 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 1104677897.
Provider's Profile
| Full Name | Kyle Allan Hopper |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 101 Neth Dr, Milligan, 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: 1104677897
- Provider Enumeration Date: 03/29/2024
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658808787
- Enrollment ID: I20241231001259
Medical Identifiers
Medical identifiers for Kyle Allan Hopper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104677897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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 Allan Hopper 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 Allan Hopper,
531 Calvin Phillips Dr,
Johnson City, TN 37601-6445
Ph: () - | Kyle Allan Hopper,
101 Neth Dr,
Milligan, TN 37682-3015
Ph: (423) 461-8700 |
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