Dr Kyle Phillip Radack, MD in Kingsport, TN

Dr Kyle Phillip Radack, MD is a medicare enrolled "Dermatology" physician in Kingsport, Tennessee. He went to Medical University Of South Carolina College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Associates, P.c. and his current practice location is 2300 W Stone Dr, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 246-4961.

Dr Kyle Phillip Radack is licensed to practice in Tennessee (license number MD56094) 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 1154663672.

Contact Information

	Dr Kyle Phillip Radack, MD
	2300 W Stone Dr, Kingsport, TN 37660-2360
	(423) 246-4961
	(423) 245-3136

Map and Direction

Physician's Profile

Full Name	Dr Kyle Phillip Radack
Gender	Male
Speciality	Dermatology
Experience	11 Years
Location	2300 W Stone Dr, 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:

Dr Kyle Phillip Radack attended and graduated from Medical University Of South Carolina College Of Medicine in 2013

NPI Data:

NPI Number: 1154663672
Provider Enumeration Date: 03/22/2013
Last Update Date: 02/23/2018

Medicare PECOS Information:

PECOS PAC ID: 5698047264
Enrollment ID: I20170816002164

Medical Identifiers

Medical identifiers for Dr Kyle Phillip Radack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154663672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD56094 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Bristol Regional Medical Center	Bristol, TN	Hospital
Johnston Memorial Hospital	Abingdon, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatology Associates, P.c.	3971578816	22

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. Dr Kyle Phillip Radack allows following entities to bill medicare on his behalf.

Entity Name	Dermatology Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487695862 PECOS PAC ID: 3971578816 Enrollment ID: O20040901001448

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 Kyle Phillip Radack 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 Kyle Phillip Radack, MD 2300 W Stone Dr, Kingsport, TN 37660-2360 Ph: (423) 246-4961	Dr Kyle Phillip Radack, MD 2300 W Stone Dr, Kingsport, TN 37660-2360 Ph: (423) 246-4961

Reviews and Comments

Dermatology Doctors in Kingsport, TN

Julia Erin Reid, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
James P Rash, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
Allison Pierce, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
Holly A Sanders, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-246-5463
Chadwick J Thomas, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
Carri Beth Homoky, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136

Dr Kyle Phillip Radack, MD - Medicare Dermatology in Kingsport, TN