Dr Matthew Justice Kornegay Jr, MD in Charleston, SC

Dr Matthew Justice Kornegay Jr, MD is a medicare enrolled "Pediatrics" physician in Charleston, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Liberty Doctors Llc, University Medical Associates and his current practice location is 1483 Tobias Gadson Blvd Ste 101, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 405-1110.

Dr Matthew Justice Kornegay Jr is licensed to practice in South Carolina (license number 31144) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1922042654.

Contact Information

	Dr Matthew Justice Kornegay Jr, MD
	1483 Tobias Gadson Blvd Ste 101, Charleston, SC 29407-4795
	(843) 405-1110
	(855) 654-2149

Map and Direction

Physician's Profile

Full Name	Dr Matthew Justice Kornegay Jr
Gender	Male
Speciality	Pediatric Medicine
Experience	22 Years
Location	1483 Tobias Gadson Blvd Ste 101, Charleston, South Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Matthew Justice Kornegay Jr attended and graduated from Medical University Of South Carolina College Of Medicine in 2002

NPI Data:

NPI Number: 1922042654
Provider Enumeration Date: 06/15/2006
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 9032113485
Enrollment ID: I20081112000080

Medical Identifiers

Medical identifiers for Dr Matthew Justice Kornegay Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922042654	NPI	-	NPPES
311442	Medicaid	SC
P00834834	Other	SC	RAILROAD MEDICARE ID-RSFPN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	31144 (South Carolina)	Secondary
208000000X	Pediatrics	31144 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bon Secours-st Francis Xavier Hospital	Charleston, SC	Hospital
Musc Medical Center	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Liberty Doctors Llc	0840466017	40
University Medical Associates	6305758574	1311

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 Matthew Justice Kornegay Jr allows following entities to bill medicare on his behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

Entity Name	Roper Saint Francis Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346752383 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405

Entity Name	Liberty Doctors Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700162203 PECOS PAC ID: 0840466017 Enrollment ID: O20120110000683

Entity Name	Charleston Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376033829 PECOS PAC ID: 8820344591 Enrollment ID: O20180711000371

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 Matthew Justice Kornegay 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
Dr Matthew Justice Kornegay Jr, MD 1483 Tobias Gadson Blvd Ste 101, Charleston, SC 29407-4795 Ph: () -	Dr Matthew Justice Kornegay Jr, MD 1483 Tobias Gadson Blvd Ste 101, Charleston, SC 29407-4795 Ph: (843) 405-1110

Reviews and Comments

Pediatrics Doctors in Charleston, SC

Andrew M Atz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Megan Elizabeth Redfern, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-876-0795
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265

Dr Matthew Justice Kornegay Jr, MD - Medicare Pediatric Medicine in Charleston, SC