Dr Samantha A Ketron, MD in Kingsport, TN

Dr Samantha A Ketron, MD is a medicare enrolled "Pediatrics" physician in Kingsport, Tennessee. Her current practice location is 2002 Brookside Dr Ste 200, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 530-7970.

Dr Samantha A Ketron is licensed to practice in Tennessee (license number 55958) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578959920.

Contact Information

	Dr Samantha A Ketron, MD
	2002 Brookside Dr Ste 200, Kingsport, TN 37660-4634
	(423) 530-7970
	(423) 530-7971

Map and Direction

Physician's Profile

Full Name	Dr Samantha A Ketron
Gender	Female
Speciality	Pediatrics
Location	2002 Brookside Dr Ste 200, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578959920
Provider Enumeration Date: 04/13/2015
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7214244060
Enrollment ID: I20180919001519

Medical Identifiers

Medical identifiers for Dr Samantha A Ketron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578959920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	55958 (Tennessee)	Primary

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 Samantha A Ketron allows following entities to bill medicare on her behalf.

Entity Name	State Of Franklin Healthcare Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101

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 Samantha A Ketron 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 Samantha A Ketron, MD Po Box 3889, Johnson City, TN 37602-3889 Ph: (423) 794-5742	Dr Samantha A Ketron, MD 2002 Brookside Dr Ste 200, Kingsport, TN 37660-4634 Ph: (423) 530-7970

Reviews and Comments

Pediatrics Doctors in Kingsport, TN

Mrs. Michelle R Estes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-3933 Fax: 423-224-3934
Dr. Sarah Nichols, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 210, Kingsport, TN 37660 Phone: 423-224-3933 Fax: 423-224-3934
Dr. Jennifer A Rose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3616 Netherland Inn Rd Ste 6, Kingsport, TN 37660 Phone: 423-403-3258 Fax: 423-295-9626
Dr. Brittney R Terry, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 Brookside Dr Ste 200, Kingsport, TN 37660 Phone: 423-530-7970 Fax: 423-530-7971
Arthur Garrett, MD PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 2212 N John B Dennis Pkwy, Kingsport, TN 37660 Phone: 423-392-6700
Dr. Frank Fischer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 2a, Kingsport, TN 37660 Phone: 423-224-3375 Fax: 423-378-5940
Sarah S Youssef, Pediatrics Medicare: Medicare Enrolled Practice Location: 105 W Stone Dr Ste 2a, Kingsport, TN 37660 Phone: 423-230-2430 Fax: 423-378-5940

Dr Samantha A Ketron, MD - Medicare Pediatrics in Kingsport, TN