Prof John Walter Knight Iii, PA-C is a medicare enrolled "Physician Assistant" in Gordonsville, Tennessee. His current practice location is
8 New Middleton Hwy, Suite A, Gordonsville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 472-5353.
Prof John Walter Knight Iii is licensed to practice in Arkansas (license number PA-732) 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 1881660777.
Provider's Profile
Full Name | Prof John Walter Knight Iii |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 8 New Middleton Hwy, Gordonsville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881660777
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 10/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 5496061996
- Enrollment ID: I20150828001567
Medical Identifiers
Medical identifiers for Prof John Walter Knight Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881660777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2509 (Tennessee) | Secondary |
363A00000X | Physician Assistant | PA-732 (Arkansas) | Primary |
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. Prof John Walter Knight Iii 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 |
Prof John Walter Knight Iii, PA-C Po Box 2650, Pine Bluff, AR 71613-2650 Ph: (870) 534-3349 | Prof John Walter Knight Iii, PA-C 8 New Middleton Hwy, Suite A, Gordonsville, TN 38563-6603 Ph: (931) 472-5353 |
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