Mr Kenneth Russell Hardigan, MD - Medicare Internal Medicine in Crossville, TN

Mr Kenneth Russell Hardigan, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Crossville, Tennessee. His current practice location is 100 Lantana Rd Ste 202a, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 484-5141.

Mr Kenneth Russell Hardigan is licensed to practice in Tennessee (license number 65348) 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 1437148582.

Contact Information

Mr Kenneth Russell Hardigan, MD
100 Lantana Rd Ste 202a,
Crossville, TN 38555-1915
(931) 484-5141
(865) 374-2074



Physician's Profile

Full NameMr Kenneth Russell Hardigan
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location100 Lantana Rd Ste 202a, Crossville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437148582
  • Provider Enumeration Date: 10/20/2005
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709896525
  • Enrollment ID: I20221005003001

Medical Identifiers

Medical identifiers for Mr Kenneth Russell Hardigan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437148582NPI-NPPES
Q074573MedicaidTN
000852596AMedicaidGA
00627327GMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 039120 (Georgia)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 65348 (Tennessee)Primary

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. Mr Kenneth Russell Hardigan allows following entities to bill medicare on his behalf.
Entity NameCovenant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457302010
PECOS PAC ID: 2860305463
Enrollment ID: O20060719000030

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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. Mr Kenneth Russell Hardigan 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
Mr Kenneth Russell Hardigan, MD
100 Lantana Rd Ste 202a,
Crossville, TN 38555-1915

Ph: (931) 484-5141
Mr Kenneth Russell Hardigan, MD
100 Lantana Rd Ste 202a,
Crossville, TN 38555-1915

Ph: (931) 484-5141

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Internal Medicine Doctors in Crossville, TN

Dr. Tamara Jean Collins, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555
Phone: 931-484-5141    Fax: 931-484-5620
Mr. Robert E Nichols, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555
Phone: 931-484-5141    Fax: 931-484-5620
Dr. Kimberly S Peaslee, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555
Phone: 931-484-7531    Fax: 931-456-9515
Mehran Monazam Tavallaee, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 133 Hayes St, Crossville, TN 38555
Phone: 931-456-9434    Fax: 931-456-5061
Dr. Thomas E Clayton, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555
Phone: 931-484-7531    Fax: 931-456-9515
Dr. Mary M Headrick, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555
Phone: 931-484-5141    Fax: 931-484-5620
Dr. Kristine Louise Soly, MD, FACC
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 917 Hillcrest Dr, Crossville, TN 38555
Phone: 931-456-5900    Fax: 931-456-5916

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