Kennieth Charles Mccollough Jr, MD in Birmingham, AL

Kennieth Charles Mccollough Jr, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Birmingham, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Mississippi State University and his current practice location is 1201 11th Ave S Ste 200, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 930-8339.

Kennieth Charles Mccollough Jr is licensed to practice in Alabama (license number 29754) 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 1720243421.

Contact Information

	Kennieth Charles Mccollough Jr, MD
	1201 11th Ave S Ste 200, Birmingham, AL 35205
	(205) 930-8339
	Not Available

Map and Direction

Physician's Profile

Full Name	Kennieth Charles Mccollough Jr
Gender	Male
Speciality	Sports Medicine
Experience	16 Years
Location	1201 11th Ave S Ste 200, Birmingham, Alabama
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:

Kennieth Charles Mccollough Jr attended and graduated from University Of Alabama School Of Medicine in 2008

NPI Data:

NPI Number: 1720243421
Provider Enumeration Date: 07/22/2008
Last Update Date: 07/30/2018

Medicare PECOS Information:

PECOS PAC ID: 9830369289
Enrollment ID: I20220715001468

Medical Identifiers

Medical identifiers for Kennieth Charles Mccollough Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720243421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	29754 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mississippi State University	1254404320	5

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. Kennieth Charles Mccollough Jr allows following entities to bill medicare on his behalf.

Entity Name	Mississippi State University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225012255 PECOS PAC ID: 1254404320 Enrollment ID: O20080723000051

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. Kennieth Charles Mccollough 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
Kennieth Charles Mccollough Jr, MD Po Box 55310, Birmingham, AL 35255-5310 Ph: () -	Kennieth Charles Mccollough Jr, MD 1201 11th Ave S Ste 200, Birmingham, AL 35205 Ph: (205) 930-8339

Reviews and Comments

Orthopaedic Surgery Doctors in Birmingham, AL

James Russell Bowman, M.D./ PHD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 10th Ave S Ste 200, Birmingham, AL 35205 Phone: 205-933-7838
Jan Kenjiro Vonhoegen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 720 Montclair Rd, Birmingham, AL 35213 Phone: 205-397-5200 Fax: 205-397-5220
Dr. Baylor Emerson Blickenstaff, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 Phone: 205-939-3699 Fax: 205-581-7155
Saurabh Rawall, MBBS, MS Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-4011
Victoria Masear, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 48 Medical Park E Dr, Suite 200, Birmingham, AL 35235 Phone: 205-838-3090 Fax: 205-838-6783
Dr. Jonathan David Ellis, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-4011
Abhinav Agarwal, M.B.B.S. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 6th Ave S Fl 3, Birmingham, AL 35233 Phone: 205-801-8630 Fax: 205-975-9532

Kennieth Charles Mccollough Jr, MD - Medicare Sports Medicine in Birmingham, AL