Kenneth Wayne Sanders, MD in Shreveport, LA

Kenneth Wayne Sanders, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Shreveport, Louisiana. His current practice location is 8711 Line Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 698-8711.

Kenneth Wayne Sanders is licensed to practice in Louisiana (license number 022757) 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 1427080043.

Contact Information

	Kenneth Wayne Sanders, MD
	8711 Line Ave, Shreveport, LA 71106-6813
	(318) 698-8711
	(318) 988-6766

Map and Direction

Physician's Profile

Full Name	Kenneth Wayne Sanders
Gender	Male
Speciality	Otolaryngology - Plastic Surgery Within The Head & Neck
Location	8711 Line Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427080043
Provider Enumeration Date: 07/06/2006
Last Update Date: 09/30/2019

Medicare PECOS Information:

PECOS PAC ID: 2264491497
Enrollment ID: I20041005000218

Medical Identifiers

Medical identifiers for Kenneth Wayne Sanders such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427080043	NPI	-	NPPES
1686735	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	022757 (Louisiana)	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. Kenneth Wayne Sanders allows following entities to bill medicare on his behalf.

Entity Name	Shreveport Surgery Center Ptrshp
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1598804486 PECOS PAC ID: 9830141597 Enrollment ID: O20100305000021

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 Wayne Sanders 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
Kenneth Wayne Sanders, MD 1811 E Bert Kouns Industrial Loop, Suite 160, Shreveport, LA 71105-5740 Ph: (318) 212-3223	Kenneth Wayne Sanders, MD 8711 Line Ave, Shreveport, LA 71106-6813 Ph: (318) 698-8711

Reviews and Comments

Otolaryngology Doctors in Shreveport, LA

William Harrel Watkins, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 318-226-9441 Fax: 318-425-3236
Amelia Kate Ramsey, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 901-448-5885
Brett A. Koder, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7847 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3960 Fax: 318-212-3907
Michael T Yim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6262
Dr. Clifford H Rice Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4464 Fax: 318-798-4529
Lindsey Alexander Pennington, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103 Phone: 318-813-2690 Fax: 318-813-2692
Judd H Chidlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4569 Fax: 318-798-4423

Kenneth Wayne Sanders, MD - Medicare Otolaryngology in Shreveport, LA