Dr Kenneth D Sack, MD is a medicare enrolled "Neurological Surgery" physician in North Charleston, South Carolina. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Tri-county Surgical Specialists Llc and his current practice location is
9221 University Blvd Ste 102, North Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 302-0272.
Dr Kenneth D Sack is licensed to practice in South Carolina (license number 93041) 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 1063945772.
Physician's Profile
| Full Name | Dr Kenneth D Sack |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 9 Years |
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| Location | 9221 University Blvd Ste 102, North Charleston, South 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. |
Medical Education and Training:
- Dr Kenneth D Sack graduated from medical school in 2017
NPI Data:
- NPI Number: 1063945772
- Provider Enumeration Date: 04/10/2017
- Last Update Date: 02/19/2026
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.
| Identifier | Type | State | Issuer |
| 1063945772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207T00000X | Neurological Surgery | 93041 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Tri-county Surgical Specialists Llc | 1658540505 | 31 |
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 Name | Tri-county Surgical Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659661544 PECOS PAC ID: 1658540505 Enrollment ID: O20110810000001 |
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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 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 Address | Practice Location Address |
Dr Kenneth D Sack, MD 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 Ph: (843) 302-0272 | Dr Kenneth D Sack, MD 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 Ph: (843) 302-0272 |
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