Ms Waynette Kingman, PA-C is a medicare enrolled "Physician Assistant" in Vonore, Tennessee. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Blount Memorial Physician Group Inc and her current practice location is
110 Deer Xing, Vonore, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 884-1925.
Ms Waynette Kingman is licensed to practice in Tennessee (license number 1319) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538231949.
Provider's Profile
| Full Name | Ms Waynette Kingman |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 25 Years |
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| Location | 110 Deer Xing, Vonore, Tennessee |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Waynette Kingman graduated from nursing school in 2001
NPI Data:
- NPI Number: 1538231949
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 10/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648286690
- Enrollment ID: I20060228000424
Medical Identifiers
Medical identifiers for Ms Waynette Kingman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538231949 | NPI | - | NPPES |
| 1527899 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1319 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Blount Memorial Physician Group Inc | 6406844174 | 252 |
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. Ms Waynette Kingman allows following entities to bill medicare on her behalf.
| Entity Name | Blount Memorial Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699710194
PECOS PAC ID: 6406844174
Enrollment ID: O20040503000547 |
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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. Ms Waynette Kingman 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 |
|---|
Ms Waynette Kingman, PA-C
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: Not Available | Ms Waynette Kingman, PA-C
110 Deer Xing,
Vonore, TN 37885-2133
Ph: (423) 884-1925 |
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