Dr Kyle Phillip Radack, MD - Medicare Dermatology in Kingsport, TN

Dr Kyle Phillip Radack, MD is a medicare enrolled "Dermatology" physician in Kingsport, Tennessee. He went to Medical University Of South Carolina College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Associates, P.c. and his current practice location is 2300 W Stone Dr, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 246-4961.

Dr Kyle Phillip Radack is licensed to practice in Tennessee (license number MD56094) 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 1154663672.

Contact Information

Dr Kyle Phillip Radack, MD
2300 W Stone Dr,
Kingsport, TN 37660-2360
(423) 246-4961
(423) 245-3136



Physician's Profile

Full NameDr Kyle Phillip Radack
GenderMale
SpecialityDermatology
Experience11 Years
Location2300 W Stone Dr, Kingsport, 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:
  • Dr Kyle Phillip Radack attended and graduated from Medical University Of South Carolina College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1154663672
  • Provider Enumeration Date: 03/22/2013
  • Last Update Date: 02/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5698047264
  • Enrollment ID: I20170816002164

Medical Identifiers

Medical identifiers for Dr Kyle Phillip Radack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154663672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD56094 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnston Memorial HospitalAbingdon, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermatology Associates, P.c.397157881623

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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. Dr Kyle Phillip Radack allows following entities to bill medicare on his behalf.
Entity NameDermatology Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487695862
PECOS PAC ID: 3971578816
Enrollment ID: O20040901001448

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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 Kyle Phillip Radack 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
Dr Kyle Phillip Radack, MD
2300 W Stone Dr,
Kingsport, TN 37660-2360

Ph: (423) 246-4961
Dr Kyle Phillip Radack, MD
2300 W Stone Dr,
Kingsport, TN 37660-2360

Ph: (423) 246-4961

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Dermatology Doctors in Kingsport, TN

Julia Erin Reid, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 W Stone Dr, Kingsport, TN 37660
Phone: 423-246-4961    Fax: 423-245-3136
James P Rash, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 W Stone Dr, Kingsport, TN 37660
Phone: 423-246-4961    Fax: 423-245-3136
Allison Pierce, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 W Stone Dr, Kingsport, TN 37660
Phone: 423-246-4961    Fax: 423-245-3136
Holly A Sanders, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 W Stone Dr, Kingsport, TN 37660
Phone: 423-246-4961    Fax: 423-246-5463
Chadwick J Thomas, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 W Stone Dr, Kingsport, TN 37660
Phone: 423-246-4961    Fax: 423-245-3136
Carri Beth Homoky, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 W Stone Dr, Kingsport, TN 37660
Phone: 423-246-4961    Fax: 423-245-3136

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