Kenneth R Lister, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Crossville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Cumberland Physician Group, Llc and his current practice location is
49 Cleveland St Ste 230, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 210-5701.
Kenneth R Lister is licensed to practice in Tennessee (license number MD8024) 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 1730187980.
Physician's Profile
Full Name | Kenneth R Lister |
---|
Gender | Male |
---|
Speciality | Anesthesiology |
---|
Experience | 48 Years |
---|
Location | 49 Cleveland St Ste 230, Crossville, 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:
- Kenneth R Lister attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1976
NPI Data:
- NPI Number: 1730187980
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204832009
- Enrollment ID: I20111202000462
Medical Identifiers
Medical identifiers for Kenneth R Lister such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730187980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | MD8024 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cumberland Physician Group, Llc | 7517059017 | 5 |
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. Kenneth R Lister allows following entities to bill medicare on his behalf.
Entity Name | Cumberland Physician Group, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1225161227 PECOS PAC ID: 7517059017 Enrollment ID: O20070828000491 |
---|
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. Kenneth R Lister 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 |
Kenneth R Lister, MD 49 Cleveland St Ste 230, Crossville, TN 38555-2854 Ph: (931) 210-5701 | Kenneth R Lister, MD 49 Cleveland St Ste 230, Crossville, TN 38555-2854 Ph: (931) 210-5701 |
Reviews and Comments