Dr Thomas J Knackstedt, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Fuquay Varina, North Carolina. He went to University Of South Carolina School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Skin Surgery Center Pa and his current practice location is
1006 Procure St Ste 100, Fuquay Varina, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 762-6845.
Dr Thomas J Knackstedt is licensed to practice in North Carolina (license number 2022-01519) 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 1447545603.
Physician's Profile
| Full Name | Dr Thomas J Knackstedt |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 1006 Procure St Ste 100, Fuquay Varina, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas J Knackstedt attended and graduated from University Of South Carolina School Of Medicine in 2011
NPI Data:
- NPI Number: 1447545603
- Provider Enumeration Date: 06/16/2011
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991005233
- Enrollment ID: I20220810003569
Medical Identifiers
Medical identifiers for Dr Thomas J Knackstedt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447545603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2022-01519 (North Carolina) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 2022-01519 (North Carolina) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 2022-01519 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Skin Surgery Center Pa | 3173599479 | 53 |
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 Thomas J Knackstedt allows following entities to bill medicare on his behalf.
| Entity Name | Skin Surgery Center Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649237082
PECOS PAC ID: 3173599479
Enrollment ID: O20040908000943 |
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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 Thomas J Knackstedt 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 |
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Dr Thomas J Knackstedt, MD
1006 Procure St Ste 100,
Fuquay Varina, NC 27526-2627
Ph: (919) 762-6845 | Dr Thomas J Knackstedt, MD
1006 Procure St Ste 100,
Fuquay Varina, NC 27526-2627
Ph: (919) 762-6845 |
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