Dr Kenneth Lee Willeford, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Supply, North Carolina. He went to George Washington University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is
10 Doctors Cir, Suite 2, Supply, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 755-6060.
Dr Kenneth Lee Willeford is licensed to practice in North Carolina (license number 36621) 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 1912917865.
Physician's Profile
| Full Name | Dr Kenneth Lee Willeford |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 36 Years |
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| Location | 10 Doctors Cir, Supply, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth Lee Willeford attended and graduated from George Washington University School Of Medicine in 1988
NPI Data:
- NPI Number: 1912917865
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 02/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 3375503089
- Enrollment ID: I20041018000324
Medical Identifiers
Medical identifiers for Dr Kenneth Lee Willeford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912917865 | NPI | - | NPPES |
| 8987642 | Medicaid | NC | |
| 016UX | Other | NC | BCBS NC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 36621 (North Carolina) | Primary |
Medical Facilities Affiliation
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. Dr Kenneth Lee Willeford allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Carolinas Integrated Medicine Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649304239
PECOS PAC ID: 6406807072
Enrollment ID: O20050201000946 |
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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. Dr Kenneth Lee Willeford 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 |
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Dr Kenneth Lee Willeford, MD
10 Doctors Cir, Suite 2,
Supply, NC 28462-4089
Ph: (910) 755-6060 | Dr Kenneth Lee Willeford, MD
10 Doctors Cir, Suite 2,
Supply, NC 28462-4089
Ph: (910) 755-6060 |
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