Dr Kenneth W Kellough, MD - Medicare Internal Medicine in Clarksdale, MS

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Dr Kenneth W Kellough, MD is a medicare enrolled "Internal Medicine" physician in Clarksdale, Mississippi. His current practice location is 705 N State St, Clarksdale, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 621-2192.

Dr Kenneth W Kellough is licensed to practice in Mississippi (license number 16776) 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 1609815000.

Contact Information

Dr Kenneth W Kellough, MD
705 N State St,
Clarksdale, MS 38614-6519
(662) 621-2192
(662) 621-2314

Map and Direction




Physician's Profile

Full NameDr Kenneth W Kellough
GenderMale
SpecialityInternal Medicine
Location705 N State St, Clarksdale, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609815000
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 12/03/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2769379650
  • Enrollment ID: I20040304000139

Medical Identifiers

Medical identifiers for Dr Kenneth W Kellough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609815000NPI-NPPES
00121009MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 16776 (Mississippi)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 W Kellough allows following entities to bill medicare on his behalf.
Entity NameAcs Emergency Services Of Mississippi Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396996997
PECOS PAC ID: 7719049998
Enrollment ID: O20081222000668
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827

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 W Kellough 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 AddressPractice Location Address
Dr Kenneth W Kellough, MD
705 N State St,
Clarksdale, MS 38614-6519

Ph: (662) 621-2192		Dr Kenneth W Kellough, MD
705 N State St,
Clarksdale, MS 38614-6519

Ph: (662) 621-2192

Reviews and Comments


Internal Medicine Doctors in Clarksdale, MS

April Danielle Carter, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1970 Hospital Dr, Clarksdale, MS 38614
Phone: 337-842-7896    
Gowdhami Mohan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 785 Ohio Ave Ste 3e, Clarksdale, MS 38614
Phone: 662-351-0702    Fax: 662-351-0703
Dr. Aman U Munir, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 785 Ohio Ave, Ste 2h, Clarksdale, MS 38614
Phone: 662-627-3003    Fax: 662-627-3095
Dr. Nikki Nikkia Cager, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 785 Ohio Ave Ste 2d, Clarksdale, MS 38614
Phone: 662-627-2509    Fax: 662-627-2420
Vikram Reddy Beemidi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 785 Ohio Ave, Suite 2h, Clarksdale, MS 38614
Phone: 662-627-3003    Fax: 662-627-3014
Dr. Richard E Brownstein, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 785 Ohio Ave, Suite 3e, Clarksdale, MS 38614
Phone: 662-624-5801    Fax: 662-624-5804

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.