Question 1

What type of a medical provider is Kenneth Nicley?

Accepted Answer

Kenneth Nicley is a Physician Assistant.

Question 2

Where does Kenneth Nicley practice medicine?

Accepted Answer

Kenneth Nicley has the following practice address:149 DURHAM DR, MAYNARDVILLE, TN 37807-2925

Question 3

Does this provider have a license number?

Accepted Answer

Kenneth Nicley has the following license number: License Number 2416 issued in Tennessee.

Question 4

Does Kenneth Nicley accept Medicare?

Accepted Answer

Yes. The provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Question 5

Where did this provider go to school?

Accepted Answer

The physcian attended Lincoln Memorial University Medical Department and graduated 2013.

Question 6

Does Kenneth Nicley have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 7

Is Kenneth Nicley a member of any Medical Groups?

Accepted Answer

Kenneth Nicley is affiliated with one medical group in the MAYNARDVILLE area, SUMMIT MEDICAL GROUP,PLLC.

Question 8

Does Kenneth Nicley participate in PECOS?

Accepted Answer

Yes, Kenneth Nicley participates in PECOS.

Question 9

What phone number can I call to contact Kenneth Nicley?

Accepted Answer

You can call the following number: (865)-992-2221

Question 10

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Kenneth Nicley.

Question 11

Is Kenneth Nicley  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 12

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 10 years ago (1/21/2015).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20140918001192
PECOS Individual PAC ID:	0143449413
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Kenneth Nicley

Overview