Mr Kenneth Russell Hardigan, MD in Crossville, TN

Mr Kenneth Russell Hardigan, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Crossville, Tennessee. His current practice location is 100 Lantana Rd Ste 202a, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 484-5141.

Mr Kenneth Russell Hardigan is licensed to practice in Tennessee (license number 65348) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437148582.

Contact Information

	Mr Kenneth Russell Hardigan, MD
	100 Lantana Rd Ste 202a, Crossville, TN 38555-1915
	(931) 484-5141
	(865) 374-2074

Map and Direction

Physician's Profile

Full Name	Mr Kenneth Russell Hardigan
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	100 Lantana Rd Ste 202a, Crossville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437148582
Provider Enumeration Date: 10/20/2005
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6709896525
Enrollment ID: I20221005003001

Medical Identifiers

Medical identifiers for Mr Kenneth Russell Hardigan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437148582	NPI	-	NPPES
000852596A	Medicaid	GA
Q074573	Medicaid	TN
00627327G	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	039120 (Georgia)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	65348 (Tennessee)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	65348 (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. Mr Kenneth Russell Hardigan allows following entities to bill medicare on his behalf.

Entity Name	Covenant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030

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. Mr Kenneth Russell Hardigan 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
Mr Kenneth Russell Hardigan, MD 100 Lantana Rd Ste 202a, Crossville, TN 38555-1915 Ph: (931) 484-5141	Mr Kenneth Russell Hardigan, MD 100 Lantana Rd Ste 202a, Crossville, TN 38555-1915 Ph: (931) 484-5141

Reviews and Comments

Internal Medicine Doctors in Crossville, TN

Dr. Tamara Jean Collins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620
Mr. Robert E Nichols, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620
Dr. Kimberly S Peaslee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515
Mehran Monazam Tavallaee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Hayes St, Crossville, TN 38555 Phone: 931-456-9434 Fax: 931-456-5061
Dr. Thomas E Clayton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515
Dr. Mary M Headrick, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620
Dr. Kristine Louise Soly, MD, FACC Internal Medicine Medicare: Medicare Enrolled Practice Location: 917 Hillcrest Dr, Crossville, TN 38555 Phone: 931-456-5900 Fax: 931-456-5916

Mr Kenneth Russell Hardigan, MD - Medicare Internal Medicine in Crossville, TN