Kesley Kirk, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bean Station, Tennessee. His current practice location is
2250 Broadway Dr Ste A1, Bean Station, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 935-8111.
Kesley Kirk is licensed to practice in Tennessee (license number 14786) 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 1811694334.
Healthcare Provider's Profile
Full Name | Kesley Kirk |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 2250 Broadway Dr Ste A1, Bean Station, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811694334
- Provider Enumeration Date: 02/15/2023
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749646156
- Enrollment ID: I20230509002625
Medical Identifiers
Medical identifiers for Kesley Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811694334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 14786 (Tennessee) | 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. Kesley Kirk allows following entities to bill medicare on his behalf.
Provider Name | Jordan C Black |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1528569316 PECOS PAC ID: 5890117469 Enrollment ID: O20200629000595 |
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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. Kesley Kirk 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 |
Kesley Kirk, PT, DPT Po Box 608, Bean Station, TN 37708-0608 Ph: (423) 375-8907 | Kesley Kirk, PT, DPT 2250 Broadway Dr Ste A1, Bean Station, TN 37708-2016 Ph: (865) 935-8111 |
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