Dr Kenneth D Sack, MD - Medicare Military Health Care Provider in Fort Sam Houston, TX

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Dr Kenneth D Sack, MD is a medicare enrolled "Military Health Care Provider" physician in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 539-9582.

Dr Kenneth D Sack is licensed to practice in South Carolina (license number 93041) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063945772.

Contact Information

Dr Kenneth D Sack, MD
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
(210) 539-9582
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth D Sack
GenderMale
SpecialityMilitary Health Care Provider
Location3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063945772
  • Provider Enumeration Date: 04/10/2017
  • Last Update Date: 05/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7719405133
  • Enrollment ID: I20250519002523

Medical Identifiers

Medical identifiers for Dr Kenneth D Sack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063945772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 93041 (South Carolina)Secondary
171000000XMilitary Health Care Provider 93041 (South Carolina)Primary

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 D Sack allows following entities to bill medicare on his behalf.
Entity NameTri-county Surgical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659661544
PECOS PAC ID: 1658540505
Enrollment ID: O20110810000001

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 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
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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.