Dr Kenneth Milton Mathews Jr, MD MSPH FACPM is a medicare enrolled "General Practice" physician in Morristown, Tennessee. His current practice location is
812 West 4th North St, Morristown, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 581-3490.
Dr Kenneth Milton Mathews Jr is licensed to practice in North Carolina (license number MD9700433NC) 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 1841379609.
Physician's Profile
| Full Name | Dr Kenneth Milton Mathews Jr |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 812 West 4th North St, Morristown, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841379609
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7719103472
- Enrollment ID: I20140801001320
Medical Identifiers
Medical identifiers for Dr Kenneth Milton Mathews Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841379609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MD012570TN (Tennessee) | Primary |
| 207P00000X | Emergency Medicine | MD9700433NC (North Carolina) | Primary |
| 207Q00000X | Family Medicine | MD012570TN (Tennessee) | Primary |
| 207Q00000X | Family Medicine | MD9700433NC (North Carolina) | Primary |
| 207R00000X | Internal Medicine | MD012570TN (Tennessee) | Primary |
| 207R00000X | Internal Medicine | MD9700433NC (North Carolina) | Primary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD012570TN (Tennessee) | Primary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD9700433NC (North Carolina) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | MD012570TN (Tennessee) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | MD9700433NC (North Carolina) | Primary |
| 208D00000X | General Practice | MD012570TN (Tennessee) | Primary |
| 208D00000X | General Practice | MD9700433NC (North Carolina) | Primary |
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. Dr Kenneth Milton Mathews Jr 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 |
|---|
Dr Kenneth Milton Mathews Jr, MD MSPH FACPM
812 West 4th North St,
Morristown, TN 37814
Ph: (423) 581-3490 | Dr Kenneth Milton Mathews Jr, MD MSPH FACPM
812 West 4th North St,
Morristown, TN 37814
Ph: (423) 581-3490 |
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