Dr Kenneth Lee Colburn, MD in Livingston, TN

Dr Kenneth Lee Colburn, MD is a medicare enrolled "Family Medicine" physician in Livingston, Tennessee. His current practice location is 4120 Bradford Hicks Dr, Livingston, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 823-5603.

Dr Kenneth Lee Colburn is licensed to practice in Tennessee (license number 21497) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255331906.

Contact Information

	Dr Kenneth Lee Colburn, MD
	4120 Bradford Hicks Dr, Livingston, TN 38570-2213
	(931) 823-5603
	(931) 403-0574

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Lee Colburn
Gender	Male
Speciality	Family Medicine
Location	4120 Bradford Hicks Dr, Livingston, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255331906
Provider Enumeration Date: 07/26/2005
Last Update Date: 04/20/2018

Medicare PECOS Information:

PECOS PAC ID: 7719035518
Enrollment ID: I20090505000505

Medical Identifiers

Medical identifiers for Dr Kenneth Lee Colburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255331906	NPI	-	NPPES
3060384	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	21497 (Tennessee)	Primary

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. Dr Kenneth Lee Colburn allows following entities to bill medicare on his behalf.

Entity Name	Amg-livingston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699869297 PECOS PAC ID: 1052225760 Enrollment ID: O20031120000923

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. Dr Kenneth Lee Colburn 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
Dr Kenneth Lee Colburn, MD 4120 Bradford Hicks Dr, Livingston, TN 38570-2213 Ph: (931) 823-5603	Dr Kenneth Lee Colburn, MD 4120 Bradford Hicks Dr, Livingston, TN 38570-2213 Ph: (931) 823-5603

Reviews and Comments

Family Medicine Doctors in Livingston, TN

Andrea M Humphrey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 529 Medical Dr, Livingston, TN 38570 Phone: 931-823-9970 Fax: 931-823-9006
John R Clough, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5751 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-3030 Fax: 931-823-3018
Martha Jeanne Moore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5681 Fax: 931-823-8203
Dr. Nicholas Clough, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5751 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-3030 Fax: 931-823-3018
Lindsey Myers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4120 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-403-0574
Samantha Easterly Mclerran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5681 Fax: 931-823-8203

Dr Kenneth Lee Colburn, MD - Medicare Family Medicine in Livingston, TN