DR. KENNETH W PATRIC JR. MD
NPI 1366480014
Family Medicine in East Ridge, TN
About Dr. Kenneth W Patric Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH W PATRIC JR. MD (NPI 1366480014) is an individual family medicine provider in East Ridge, Tennessee, licensed in Tennessee (MD0000027485) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Oglethorpe.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kenneth W Patric Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Patric's NPI number?
The NPI number for Kenneth Patric is 1366480014. It was assigned to this individual provider in the NPPES registry on June 3, 2006.
Where is Kenneth Patric located?
Kenneth Patric practices at 403 Mcbrien Rd, East Ridge, TN 37412. The listed phone number is (423) 875-0700.
What is Kenneth Patric's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kenneth Patric enrolled in Medicare?
Yes. Kenneth Patric is registered in the Medicare PECOS enrollment system.
What insurance does Kenneth Patric accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kenneth Patric as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kenneth Patric was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kenneth W Patric Jr., MD · NPI 1366480014
Family Medicine physician in East Ridge, Tennessee. Individual provider, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1366480014 (Entity type: Individual)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD0000027485 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 403 MCBRIEN RD, East Ridge, TN 37412-3223
- **Phone:** (423) 875-0700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 25, 2023
- **Other identifiers:** Other 69243 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1366480014) · Data from the CMS NPPES public registry.