Larry R Killough, MD is a medicare enrolled "Family Medicine" physician in Kensett, Arkansas. His current practice location is
606 Wilbur D Mills North, Kensett, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 742-5697.
Larry R Killough is licensed to practice in Arkansas (license number C2942) 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 1437115821.
Physician's Profile
Full Name | Larry R Killough |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 606 Wilbur D Mills North, Kensett, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437115821
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 05/31/2011
Medicare PECOS Information:
- PECOS PAC ID: 8921142076
- Enrollment ID: I20100212000648
Medical Identifiers
Medical identifiers for Larry R Killough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437115821 | NPI | - | NPPES |
103621001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | C2942 (Arkansas) | 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. Larry R Killough allows following entities to bill medicare on his behalf.
Entity Name | Quapaw House Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548374499 PECOS PAC ID: 6608133798 Enrollment ID: O20171128000941 |
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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. Larry R Killough 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 |
Larry R Killough, MD 623 N 9th Street, Po Box 497, Augusta, AR 72006 Ph: (870) 347-3300 | Larry R Killough, MD 606 Wilbur D Mills North, Kensett, AR 72082 Ph: (501) 742-5697 |
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