Kathleen Deponte, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Norton, Virginia. She went to Hahnemann University College Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Mountain Empire Radiology Inc Pc and her current practice location is
935 Virginia Ave Nw, Norton, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 679-2729.
Kathleen Deponte is licensed to practice in Virginia (license number 35177) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104024256.
Physician's Profile
| Full Name | Kathleen Deponte |
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| Gender | Female |
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| Speciality | Diagnostic Radiology |
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| Experience | 44 Years |
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| Location | 935 Virginia Ave Nw, Norton, Virginia |
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| Accepts Medicare Assignments | Yes. She 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:
- Kathleen Deponte attended and graduated from Hahnemann University College Of Medicine in 1980
NPI Data:
- NPI Number: 1104024256
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 11/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 3678472552
- Enrollment ID: I20041020000534
Medical Identifiers
Medical identifiers for Kathleen Deponte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104024256 | NPI | - | NPPES |
| 007200781 | Medicaid | VA | |
| 64794456 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 35177 (Virginia) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD35510 (Tennessee) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mountain Empire Radiology Inc Pc | 4688655392 | 25 |
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. Kathleen Deponte allows following entities to bill medicare on her behalf.
| Entity Name | Mountain Empire Radiology Inc Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093762759
PECOS PAC ID: 4688655392
Enrollment ID: O20160712002167 |
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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. Kathleen Deponte 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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Kathleen Deponte, MD
1301 Sunset Dr, Ste 3,
Johnson City, TN 37604-7906
Ph: (423) 979-5610 | Kathleen Deponte, MD
935 Virginia Ave Nw,
Norton, VA 24273-1818
Ph: (276) 679-2729 |
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