Tracy Dewayne Kennemore, PT in Kimball, TN - Medicare Physical Therapist In Private Practice Provider

Tracy Dewayne Kennemore, PT is a medicare enrolled "Physical Therapist" provider in Kimball, Tennessee. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Southern Rehab And Aquatics and his current practice location is 400 Dixie Lee Center Rd, Kimball, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 837-7536.

Tracy Dewayne Kennemore is licensed to practice in Tennessee (license number PT0000006009) 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 1972526515.

Contact Information

	Tracy Dewayne Kennemore, PT
	400 Dixie Lee Center Rd, Kimball, TN 37347-5672
	(423) 837-7536
	(423) 837-7538

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Dewayne Kennemore
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	26 Years
Location	400 Dixie Lee Center Rd, Kimball, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy Dewayne Kennemore graduated from medical school in 1999

NPI Data:

NPI Number: 1972526515
Provider Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800816042
Enrollment ID: I20051202000399

Medical Identifiers

Medical identifiers for Tracy Dewayne Kennemore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972526515	NPI	-	NPPES
3732180	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT0000006009 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Rehab And Aquatics	7810917051	5

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. Tracy Dewayne Kennemore allows following entities to bill medicare on his behalf.

Provider Name	Southern Rehab & Aquatics
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760502520 PECOS PAC ID: 7810917051 Enrollment ID: O20051201000894

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. Tracy Dewayne Kennemore 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
Tracy Dewayne Kennemore, PT 400 Dixie Lee Center Rd, Kimball, TN 37347-5672 Ph: (423) 837-7536	Tracy Dewayne Kennemore, PT 400 Dixie Lee Center Rd, Kimball, TN 37347-5672 Ph: (423) 837-7536

Reviews and Comments

Physical Therapist in Kimball, TN

Mrs. Kacie Mcclendon Hayes, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Dixie Lee Center Rd Ste A, Kimball, TN 37347 Phone: 423-837-7536
Rachel Carter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538
Dr. Dennis Ray Blevins Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538
Southern Rehab & Aquatics Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538

Tracy Dewayne Kennemore, PT - Medicare Physical Therapist in Kimball, TN