Dr Mark Ellsworth Kleinman, MD - Medicare Ophthalmology in Kingsport, TN

Dr Mark Ellsworth Kleinman, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Kingsport, Tennessee. He went to New York University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Southeastern Retina Associates Pc, Southeastern Retina Associates Pc and his current practice location is 2412 N John B Dennis Hwy, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 578-4364.

Dr Mark Ellsworth Kleinman is licensed to practice in Kentucky (license number 44136) 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 1063676310.

Contact Information

Dr Mark Ellsworth Kleinman, MD
2412 N John B Dennis Hwy,
Kingsport, TN 37660-4772
(423) 578-4364
(423) 578-4372



Physician's Profile

Full NameDr Mark Ellsworth Kleinman
GenderMale
SpecialityOphthalmology
Experience19 Years
Location2412 N John B Dennis Hwy, 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 Mark Ellsworth Kleinman attended and graduated from New York University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1063676310
  • Provider Enumeration Date: 07/16/2008
  • Last Update Date: 12/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092986703
  • Enrollment ID: I20180717002333

Medical Identifiers

Medical identifiers for Dr Mark Ellsworth Kleinman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063676310NPI-NPPES
7100169870MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 44136 (Kentucky)Secondary
207WX0107XOphthalmology - Retina Specialist 44136 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Retina Associates Pc751786236019
Southeastern Retina Associates Pc751786236019

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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 Mark Ellsworth Kleinman allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Retina Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104097310
PECOS PAC ID: 7517862360
Enrollment ID: O20031204000507

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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 Mark Ellsworth Kleinman 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 Mark Ellsworth Kleinman, MD
320 Prosperity Dr,
Knoxville, TN 37923-4709

Ph: (423) 756-1512
Dr Mark Ellsworth Kleinman, MD
2412 N John B Dennis Hwy,
Kingsport, TN 37660-4772

Ph: (423) 578-4364

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Ophthalmology Doctors in Kingsport, TN

Anthony D Seaton, MD, PHD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 4 Sheridan Sq, Suite 102, Kingsport, TN 37660
Phone: 423-246-8196    Fax: 423-246-2308
Michael Allen Magee, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2412 N John B Dennis Hwy, Kingsport, TN 37660
Phone: 423-578-4364    
John L Chapman, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 135 W Ravine Rd, Suite 2c, Kingsport, TN 37660
Phone: 423-246-7372    Fax: 423-578-4369
Dr. Cristoforo Larzo, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2412 N John B Dennis Hwy, Kingsport, TN 37660
Phone: 423-578-4364    Fax: 423-578-4372
Dr. Brandon David Lee, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 135 W Ravine Rd, Suite 2c, Kingsport, TN 37660
Phone: 423-246-7372    Fax: 423-578-4369
Eric K Smith, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 135 W Ravine Rd, Suite 2c, Kingsport, TN 37660
Phone: 423-246-7372    Fax: 423-578-4369

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