Ken Beene, NP-C
Individual provider Active NPI Family Nurse Practitioner · Ramer, TN
NPI 1922543248 · NPPES record last updated Dec 21, 2016
Key facts
- NPI
- 1922543248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000022085 (TN)
- Practice address
- 7430 Highway 45 S
Ramer, TN 38367-5224 - Phone
- (731) 610-5256
- NPI assigned
- Dec 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7430 Hwy 45 S
Ramer, TN 38367-5224
Phone (731) 934-9569
Hospital & facility affiliations
- Volunteer Homecare of West TN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170407000582 | TN | Practitioner - Nurse Practitioner | 0648556555 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastview Medical Clinic | Current |
Accepting new patients |
Locations
7430 Highway 45 S
Ramer, TN 38367
Phone (731) 610-5256
Interoperability endpoints
- eastviewmediacalclinic.kenbeene@141483.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000022085 | TN | Yes |
Addresses
Primary practice location
7430 Highway 45 S
Ramer, TN 38367-5224
Mailing address
7430 Highway 45 S
Ramer, TN 38367-5224
Phone (731) 610-5256
Other providers in Ramer, TN
All providers in Ramer, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.