Benjamin Potter, DPM in Kingsport, TN - Medicare Podiatry Provider

Benjamin Potter, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Kingsport, Tennessee. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Associated Orthopaedics Of Kingsport Pc, Champion Physical Therapy Llc Halls and his current practice location is 430 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 245-3161.

Benjamin Potter is licensed to practice in Tennessee (license number 905) 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 1063919793.

Contact Information

	Benjamin Potter, DPM
	430 W Ravine Rd, Kingsport, TN 37660-3868
	(423) 245-3161
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Benjamin Potter
Gender	Male
Speciality	Podiatry
Experience	6 Years
Location	430 W Ravine Rd, Kingsport, 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:

Benjamin Potter graduated from medical school in 2018

NPI Data:

NPI Number: 1063919793
Provider Enumeration Date: 04/09/2018
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5991196719
Enrollment ID: I20220208002418

Medical Identifiers

Medical identifiers for Benjamin Potter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063919793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	135.001005 (Illinois)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	905 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Indian Path Community Hospital	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Orthopaedics Of Kingsport Pc	4789846700	10
Champion Physical Therapy Llc Halls	1355416306	241

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. Benjamin Potter allows following entities to bill medicare on his behalf.

Provider Name	Associated Orthopaedics Of Kingsport Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053683227 PECOS PAC ID: 4789846700 Enrollment ID: O20120508000434

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. Benjamin Potter 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
Benjamin Potter, DPM 430 W Ravine Rd, Kingsport, TN 37660-3868 Ph: (423) 245-3161	Benjamin Potter, DPM 430 W Ravine Rd, Kingsport, TN 37660-3868 Ph: (423) 245-3161

Reviews and Comments

Podiatrist in Kingsport, TN

Paul Benjamin Schodowski, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2004 American Way, Suite 115, Kingsport, TN 37660 Phone: 423-246-8840 Fax: 423-246-8559
Ann Wolford, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 Sheridan Sq Ste 102, Kingsport, TN 37660 Phone: 423-722-5200
Dr. Joe Howard Owens, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2012 Brookside Dr, Suite 9, Kingsport, TN 37660 Phone: 423-392-6430 Fax: 423-392-6432
Dr. Mark C Baxter, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 421 W Stone Dr, Suite 6, Kingsport, TN 37660 Phone: 423-245-4100 Fax: 423-245-0463
Frontier Foot & Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 1 Sheridan Sq Ste 102, Kingsport, TN 37660 Phone: 423-722-5200
Chad Lawrence, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 4b, Kingsport, TN 37660 Phone: 423-578-1560

Benjamin Potter, DPM - Medicare Podiatrist in Kingsport, TN