Keonho Kong, MD - Medicare Otolaryngology in Jackson, MS

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



Physician's Profile

Full NameKeonho Kong
GenderMale
SpecialityOtolaryngology
Experience9 Years
Location2500 N State St, Jackson, Mississippi
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:
  • 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.
IdentifierTypeStateIssuer
1871988915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 2021-01892 (North Carolina)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Y00000XOtolaryngology 30284 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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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. Keonho Kong allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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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. 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 AddressPractice 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

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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    

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