Daniel Laurence Kachelmyer, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1135 Issued in TN

Practice address

400 E Economy Rd
Suite 8
Morristown, TN 37814-3388

Phone

(423) 581-1533

Fax

(423) 587-1729

NPI assigned

May 15, 2006

Last updated

Jan 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Oklahoma College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeway Dermatology Associates PCGroup PAC ID 3678892684, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dkachelmyer@lakewayderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeway Dermatology Associates PC

  • Dermatology Physician
  • Morristown, TN
  • NPI 1386031979
  Medicare reassignment Care Compare group
• Skin Solutions Dermatology & Skin Cancer Surgery, P.C.

  • Specialist
  • Franklin, TN
  • NPI 1215940366
  Medicare reassignment
• Lakeway Dermatology Associates, PC

  • Dermatology Physician
  • Morristown, TN
  • NPI 1114123056
  NPD (past)
• Stratum Health Collective PLLC

  • Integrative Medicine Physician
  • Brentwood, TN
  • NPI 1740121516
  NPD (past)
• Cascade Eye & Skin Centers P.C.

  • Ophthalmology Physician
  • Puyallup, WA
  • NPI 1033204938
  NPD (past)
• Cascade Eye & Skin Centers PC

  • Ophthalmology Physician
  • Auburn, WA
  • NPI 1427293109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1376594317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E ECONOMY RD",
            "address_2": "SUITE 8",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143388",
            "telephone_number": "423-581-1533",
            "fax_number": "423-587-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ECONOMY RD",
            "address_2": "SUITE 8",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143388",
            "telephone_number": "423-581-1533",
            "fax_number": "423-587-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHELMYER",
        "first_name": "DANIEL",
        "middle_name": "LAURENCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4212412",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Morristown, TN
• Providers in Morristown, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.