Kesley Kirk, PT, DPT - Medicare Physical Therapist in Bean Station, TN

Kesley Kirk, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bean Station, Tennessee. His current practice location is 2250 Broadway Dr Ste A1, Bean Station, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 935-8111.

Kesley Kirk is licensed to practice in Tennessee (license number 14786) 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 1811694334.

Contact Information

Kesley Kirk, PT, DPT
2250 Broadway Dr Ste A1,
Bean Station, TN 37708-2016
(865) 935-8111
(423) 822-5767



Healthcare Provider's Profile

Full NameKesley Kirk
GenderMale
SpecialityPhysical Therapist
Location2250 Broadway Dr Ste A1, Bean Station, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811694334
  • Provider Enumeration Date: 02/15/2023
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749646156
  • Enrollment ID: I20230509002625

Medical Identifiers

Medical identifiers for Kesley Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811694334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 14786 (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. Kesley Kirk allows following entities to bill medicare on his behalf.
Provider NameJordan C Black
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1528569316
PECOS PAC ID: 5890117469
Enrollment ID: O20200629000595

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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. Kesley Kirk 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
Kesley Kirk, PT, DPT
Po Box 608,
Bean Station, TN 37708-0608

Ph: (423) 375-8907
Kesley Kirk, PT, DPT
2250 Broadway Dr Ste A1,
Bean Station, TN 37708-2016

Ph: (865) 935-8111

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Physical Therapist in Bean Station, TN

Logan Harris, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2250 Broadway Dr Ste A1, Bean Station, TN 37708
Phone: 865-935-8111    Fax: 423-822-5767

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