Kelly J Cassedy, MD in Kingsport, TN - Medicare Diagnostic Radiology

Kelly J Cassedy, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kingsport, Tennessee. He went to University Of Cincinnati College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Blue Ridge Radiology Pc, Blue Ridge Radiology Pc and his current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 968-1144.

Kelly J Cassedy is licensed to practice in Tennessee (license number 23468) 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 1639170178.

Contact Information

	Kelly J Cassedy, MD
	130 W Ravine Rd, Kingsport, TN 37660-3810
	(423) 968-1144
	(423) 968-3453

Map and Direction

Physician's Profile

Full Name	Kelly J Cassedy
Gender	Male
Speciality	Diagnostic Radiology
Experience	37 Years
Location	130 W Ravine Rd, 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:

Kelly J Cassedy attended and graduated from University Of Cincinnati College Of Medicine in 1987

NPI Data:

NPI Number: 1639170178
Provider Enumeration Date: 08/09/2005
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 4486686367
Enrollment ID: I20050831000954

Medical Identifiers

Medical identifiers for Kelly J Cassedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639170178	NPI	-	NPPES
3058511	Other	TN	BCBS
7213425	Medicaid	VA
RO6903	Other	TN	JOHN DEERE
3070168	Medicaid	TN
64927528	Medicaid	KY
300066625	Other		PGBA (RR MEDICARE)
0218543000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	23468 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Wellmont Bristol Regional Medical Center	Bristol, TN	Hospital
Greeneville Community Hospital	Greeneville, TN	Hospital
Johnston Memorial Hospital	Abingdon, VA	Hospital
Lonesome Pine Hospital	Big stone gap, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Ridge Radiology Pc	7416860473	44
Blue Ridge Radiology Pc	7416860473	44

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. Kelly J Cassedy allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20031106000638

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. Kelly J Cassedy 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
Kelly J Cassedy, MD 3053 W State St, Bristol, TN 37620-1720 Ph: (423) 968-1144	Kelly J Cassedy, MD 130 W Ravine Rd, Kingsport, TN 37660-3810 Ph: (423) 968-1144

Reviews and Comments

Radiology Doctors in Kingsport, TN

Dr. Arthur Austin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000
John D. Creasy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453
Thomas F. Pugh Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453
Brooks M Talton Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Hvmc/radiation Oncology Dept, Kingsport, TN 37660 Phone: 423-224-5500 Fax: 423-224-5439
John M. Mcmurray, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453
Dr. Brad W Miller, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000
Gert J. Van Der Westhuizen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453

Kelly J Cassedy, MD - Medicare Diagnostic Radiology in Kingsport, TN