Dr Fred R Knickerbocker, MD in Bristol, TN - Orthopaedic Surgery

Dr Fred R Knickerbocker, MD is a Orthopaedic Surgery physician based in Bristol, Tennessee. Dr Fred R Knickerbocker is licensed to practice in Tennessee (license number 10490) and his current practice location is 260 Midway Medical Park, Suite 100, Bristol, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 968-4446.

NPI number for Dr Fred R Knickerbocker is 1588609242 and his current mailing address is 260 Midway Medical Park, Suite 100, Bristol, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588609242.

Contact Information

	Dr Fred R Knickerbocker, MD
	260 Midway Medical Park, Suite 100, Bristol, TN 37620-1721
	(423) 968-4446
	(423) 968-4802

Physician's Profile

Full Name	Dr Fred R Knickerbocker
Gender	Male
Speciality	Orthopaedic Surgery
Location	260 Midway Medical Park, Bristol, Tennessee
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1588609242
Provider Enumeration Date: 06/18/2006
Last Update Date: 03/24/2008

Medical Identifiers

Medical identifiers for Dr Fred R Knickerbocker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588609242	NPI	-	NPPES
3164215	Medicaid	TN
006404766	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	10490 (Tennessee)	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. Dr Fred R Knickerbocker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Fred R Knickerbocker, MD 260 Midway Medical Park, Suite 100, Bristol, TN 37620-1721 Ph: (423) 968-4446	Dr Fred R Knickerbocker, MD 260 Midway Medical Park, Suite 100, Bristol, TN 37620-1721 Ph: (423) 968-4446

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Orthopaedic Surgery Doctors in Bristol, TN

Natalie Huntington Vaughn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 300e, Bristol, TN 37620 Phone: 423-844-6450 Fax: 423-844-6499
Dr. Bert E Tagert, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1 Medical Park Blvd, Ste 300 E, Bristol, TN 37620 Phone: 423-844-6450 Fax: 423-844-6499
Tyler M Duncan, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Steeles Rd, Bristol, TN 37620 Phone: 423-280-9011 Fax: 423-282-0035
Dr. Michael R Fleenor, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 260 Midway Medical Park, Ste 100, Bristol, TN 37620 Phone: 423-968-4446 Fax: 423-968-4802
Dr. Richard Andrew Hillesheim, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Steeles Rd, Bristol, TN 37620 Phone: 423-282-9011 Fax: 423-282-0035
Jonathan D Bryant, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Steeles Rd, Bristol, TN 37620 Phone: 423-282-9011 Fax: 423-282-0035
Dr. Jason Allen Fogleman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Steeles Rd, Bristol, TN 37620 Phone: 423-282-9011 Fax: 423-282-0035

Dr Fred R Knickerbocker, MD - Orthopaedic Surgery in Bristol, TN