Kenneth Luckie Vandervoort, MD - Medicare Orthopedic Surgery in Anniston, AL

Kenneth Luckie Vandervoort, MD is a medicare enrolled "Orthopaedic Surgery" physician in Anniston, Alabama. He went to University Of Alabama School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Anniston Orthopedics Associates Pa, Southern Orthopaedic Alliance Pllc and his current practice location is 731 Leighton Ave Ste 300, Anniston, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 236-4121.

Kenneth Luckie Vandervoort is licensed to practice in Alabama (license number MD.13298) 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 1912996158.

Contact Information

Kenneth Luckie Vandervoort, MD
731 Leighton Ave Ste 300,
Anniston, AL 36207-5762
(256) 236-4121
(256) 237-5254



Physician's Profile

Full NameKenneth Luckie Vandervoort
GenderMale
SpecialityOrthopedic Surgery
Experience42 Years
Location731 Leighton Ave Ste 300, Anniston, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Luckie Vandervoort attended and graduated from University Of Alabama School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1912996158
  • Provider Enumeration Date: 10/20/2005
  • Last Update Date: 04/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557458122
  • Enrollment ID: I20101103000192

Medical Identifiers

Medical identifiers for Kenneth Luckie Vandervoort such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912996158NPI-NPPES
000017436MedicaidAL
051017436OtherALBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 00013298 (Alabama)Secondary
207X00000XOrthopaedic Surgery MD.13298 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Alabama Regional Medical CenterAnniston, ALHospital
Clay County HospitalAshland, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anniston Orthopedics Associates Pa387049529411
Southern Orthopaedic Alliance Pllc236580060450

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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 Luckie Vandervoort allows following entities to bill medicare on his behalf.
Entity NameAnniston Orthopedics Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366636706
PECOS PAC ID: 3870495294
Enrollment ID: O20040124000279

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Entity NameSouthern Orthopaedic Alliance Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588364228
PECOS PAC ID: 2365800604
Enrollment ID: O20230620001264

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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. Kenneth Luckie Vandervoort 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 AddressPractice Location Address
Kenneth Luckie Vandervoort, MD
731 Leighton Ave Ste 300,
Anniston, AL 36207-5762

Ph: (256) 236-4121
Kenneth Luckie Vandervoort, MD
731 Leighton Ave Ste 300,
Anniston, AL 36207-5762

Ph: (256) 236-4121

News Archive

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Orthopaedic Surgery Doctors in Anniston, AL

Duane Dickie Tippets, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207
Phone: 256-236-4121    Fax: 256-237-5254
Dr. Duane Michael Tippets, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207
Phone: 256-236-4121    Fax: 256-237-5254
John Richard Payne, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207
Phone: 256-236-4121    Fax: 256-237-5254
Michael Roger Wiedmer, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207
Phone: 256-236-4121    Fax: 256-237-5254
Gordon Townsend Hardy, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207
Phone: 256-236-4121    Fax: 256-237-5254
Andrew Charles Morris, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 731 Leighton Ave Ste 300, Anniston, AL 36207
Phone: 850-916-3700    
Dr. Morton Sumner Rickless, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 716 E 10th St, Suite B, Anniston, AL 36207
Phone: 256-238-9500    Fax: 256-238-9524

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