Kyle Allan Hopper, is a medicare enrolled "Physician Assistant" in Milligan, Tennessee. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lake Cumberland Physician Practices Llc and 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
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 1104677897.
Provider's Profile
| Full Name | Kyle Allan Hopper |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 101 Neth Dr, Milligan, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kyle Allan Hopper graduated from nursing school in 2024
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 |
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| 1104677897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake Cumberland Physician Practices Llc | 2567510464 | 47 |
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 Allan Hopper allows following entities to bill medicare on his behalf.
| Entity Name | Lake Cumberland Physician Practices LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811356892
PECOS PAC ID: 2567510464
Enrollment ID: O20090504000210 |
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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. 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 |
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Kyle Allan Hopper,
531 Calvin Phillips Dr,
Johnson City, TN 37601-6445
Ph: Not Available | Kyle Allan Hopper,
101 Neth Dr,
Milligan, TN 37682-3015
Ph: (423) 461-8700 |
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