Dr Kenneth Lee Willeford, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Supply, North Carolina. His current practice location is
10 Doctors Cir, Suite 2, Supply, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 755-6060.
Dr Kenneth Lee Willeford is licensed to practice in North Carolina (license number 36621) 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 1912917865.
Physician's Profile
Full Name | Dr Kenneth Lee Willeford |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 10 Doctors Cir, Supply, North Carolina |
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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. |
Medical Education and Training:
- Dr Kenneth Lee Willeford attended and graduated from in
NPI Data:
- NPI Number: 1912917865
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 02/13/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kenneth Lee Willeford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912917865 | NPI | - | NPPES |
8987642 | Medicaid | NC | |
016UX | Other | NC | BCBS NC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 36621 (North Carolina) | Primary |
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 Willeford 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 Willeford, MD 10 Doctors Cir, Suite 2, Supply, NC 28462-4089 Ph: (910) 755-6060 | Dr Kenneth Lee Willeford, MD 10 Doctors Cir, Suite 2, Supply, NC 28462-4089 Ph: (910) 755-6060 |
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