Mrs Kelly L King, PT is a medicare enrolled "Physical Therapist" provider in Camden, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Dynamix Physical Therapy Llc and her current practice location is
309 Highway 641 N, Camden, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 584-1722.
Mrs Kelly L King is licensed to practice in Tennessee (license number PT0000007078) 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 1699709204.
Healthcare Provider's Profile
| Full Name | Mrs Kelly L King |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 22 Years |
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| Location | 309 Highway 641 N, Camden, 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:
- Mrs Kelly L King attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2004
NPI Data:
- NPI Number: 1699709204
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 08/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 5991719684
- Enrollment ID: I20240326000481
Medical Identifiers
Medical identifiers for Mrs Kelly L King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699709204 | NPI | - | NPPES |
| 0446685 | Medicaid | TN | |
| 4117317 | Other | TN | BCBS PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT0000007078 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dynamix Physical Therapy Llc | 5193873933 | 41 |
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. Mrs Kelly L King allows following entities to bill medicare on her behalf.
| Provider Name | Dynamix Physical Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669619268
PECOS PAC ID: 5193873933
Enrollment ID: O20090504000677 |
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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. Mrs Kelly L King 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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Mrs Kelly L King, PT
309 Highway 641 N,
Camden, TN 38320-3011
Ph: (731) 584-1722 | Mrs Kelly L King, PT
309 Highway 641 N,
Camden, TN 38320-3011
Ph: (731) 584-1722 |
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