Keonho Kong, MD in Jackson, MS - Medicare Otolaryngology

Keonho Kong, MD is a medicare enrolled "Otolaryngology" physician in Jackson, Mississippi. He went to Drexel University College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-2005.

Keonho Kong is licensed to practice in Mississippi (license number 30284) 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 1871988915.

Contact Information

	Keonho Kong, MD
	2500 N State St, Jackson, MS 39216-4500
	(601) 815-2005
	(601) 815-0434

Map and Direction

Physician's Profile

Full Name	Keonho Kong
Gender	Male
Speciality	Otolaryngology
Experience	9 Years
Location	2500 N State St, Jackson, Mississippi
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:

Keonho Kong attended and graduated from Drexel University College Of Medicine in 2015

NPI Data:

NPI Number: 1871988915
Provider Enumeration Date: 04/06/2015
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 8527379544
Enrollment ID: I20220806000689

Medical Identifiers

Medical identifiers for Keonho Kong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871988915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	2021-01892 (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Y00000X	Otolaryngology	30284 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Med Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	782

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. Keonho Kong allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Keonho Kong 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
Keonho Kong, MD 504 Clinton Center Dr Ste 4300, Clinton, MS 39056-5610 Ph: (601) 815-2005	Keonho Kong, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-2005

Reviews and Comments

Otolaryngology Doctors in Jackson, MS

Dr. Scott P Stringer, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Otolaryngology, Jackson, MS 39216 Phone: 601-984-5160 Fax: 601-815-6985
Melissa Scholes, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434
Steven Curti, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6885 Fax: 601-984-5085
Dr. Eric W. Bridges, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-9528
Dr. Claude Franklin Harbarger, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-3781 Fax: 601-984-5085
Thomas L Eby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Otolaryngology, Jackson, MS 39216 Phone: 601-984-5160
Michael David Rockwell, Otolaryngology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000

Keonho Kong, MD - Medicare Otolaryngology in Jackson, MS