Kenneth Pack Jr, DC is a medicare enrolled "Chiropractor" provider in Vian, Oklahoma. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Tenkiller Family Chiropracitc and his current practice location is
512 S. Thorton Street, Vian, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 773-3025.
Kenneth Pack Jr is licensed to practice in Oklahoma (license number 3978) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740507714.
Healthcare Provider's Profile
| Full Name | Kenneth Pack Jr |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 16 Years |
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| Location | 512 S. Thorton Street, Vian, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenneth Pack Jr graduated from medical school in 2009
NPI Data:
- NPI Number: 1740507714
- Provider Enumeration Date: 04/29/2010
- Last Update Date: 04/29/2010
Medicare PECOS Information:
- PECOS PAC ID: 4587795075
- Enrollment ID: I20100628000385
Medical Identifiers
Medical identifiers for Kenneth Pack Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740507714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3978 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tenkiller Family Chiropracitc | 3870624364 | 2 |
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. Kenneth Pack Jr allows following entities to bill medicare on his behalf.
| Provider Name | Tenkiller Family Chiropracitc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770802456
PECOS PAC ID: 3870624364
Enrollment ID: O20100628000360 |
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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. Kenneth Pack Jr 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 Address | Practice Location Address |
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Kenneth Pack Jr, DC
31179 Molly Brown Mt. Rd.,
Cookson, OK 74427
Ph: (918) 781-9994 | Kenneth Pack Jr, DC
512 S. Thorton Street,
Vian, OK 74962
Ph: (918) 773-3025 |
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