Kenneth Lee Anderson, FNP-BC - Medicare Nurse Practitioner in Chattanooga, TN

Kenneth Lee Anderson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chattanooga, Tennessee. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is 975 E 3rd St, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 778-7653.

Kenneth Lee Anderson is licensed to practice in Tennessee (license number 22083) 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 1033653894.

Contact Information

Kenneth Lee Anderson, FNP-BC
975 E 3rd St,
Chattanooga, TN 37403-2147
(423) 778-7653
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Lee Anderson
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location975 E 3rd St, Chattanooga, Tennessee
Accepts Medicare AssignmentsYes. 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 Lee Anderson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1033653894
  • Provider Enumeration Date: 12/14/2016
  • Last Update Date: 12/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6305101593
  • Enrollment ID: I20180516003021

Medical Identifiers

Medical identifiers for Kenneth Lee Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033653894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 22083 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Health Care-clevelandCleveland, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852499

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 Lee Anderson allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameStatcare Inpatient Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477086981
PECOS PAC ID: 5496025074
Enrollment ID: O20170714002608
Entity NameEn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770075582
PECOS PAC ID: 4385989557
Enrollment ID: O20181215000458

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 Lee Anderson 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 AddressPractice Location Address
Kenneth Lee Anderson, FNP-BC
975 E 3rd St,
Chattanooga, TN 37403-2147

Ph: (423) 778-7653
Kenneth Lee Anderson, FNP-BC
975 E 3rd St,
Chattanooga, TN 37403-2147

Ph: (423) 778-7653

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.