Kennieth Charles Mccollough Jr, MD - Medicare Sports Medicine 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



Physician's Profile

Full NameKennieth Charles Mccollough Jr
GenderMale
SpecialitySports Medicine
Experience16 Years
Location1201 11th Ave S Ste 200, Birmingham, 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:
  • 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.
IdentifierTypeStateIssuer
1720243421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 29754 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mississippi State University12544043205

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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. Kennieth Charles Mccollough Jr allows following entities to bill medicare on his behalf.
Entity NameMississippi State University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225012255
PECOS PAC ID: 1254404320
Enrollment ID: O20080723000051

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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. 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 AddressPractice 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

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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
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
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
Stephen Patrick Cowley, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 720 Montclair Rd, Suite101, Birmingham, AL 35213
Phone: 205-397-5200    Fax: 205-397-5210
Chong Weng, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 510 20th St S, Birmingham, AL 35233
Phone: 205-930-8339    
Patrick Reid Peavy, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235
Phone: 205-838-3900    Fax: 205-838-3906

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