Dr Kenneth D Sack, MD is a
Military Health Care Provider physician based in Fort Sam Houston, Texas. Dr Kenneth D Sack is licensed to practice in South Carolina (license number 93041) and his current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 539-9582.
NPI number for Dr Kenneth D Sack is 1063945772 and his current mailing address is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063945772.
Physician's Profile
Full Name | Dr Kenneth D Sack |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063945772
- Provider Enumeration Date: 04/10/2017
- Last Update Date: 05/09/2025
Medical Identifiers
Medical identifiers for Dr Kenneth D Sack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063945772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 93041 (South Carolina) | Secondary |
171000000X | Military Health Care Provider | 93041 (South Carolina) | Primary |
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 D Sack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth D Sack, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 | Dr Kenneth D Sack, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 |
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