Dr Kenneth Roy Pendergrast, MD in Salem, VA

Dr Kenneth Roy Pendergrast, MD is a medicare enrolled "Internal Medicine" physician in Salem, Virginia. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice St. Catherine Hospital, Vigilias Llc and his current practice location is 2155 Apperson Dr, Salem, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 444-2010.

Dr Kenneth Roy Pendergrast is licensed to practice in Kansas (license number 04-45914) 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 1255304697.

Contact Information

	Dr Kenneth Roy Pendergrast, MD
	2155 Apperson Dr, Salem, VA 24153-7235
	(540) 444-2010
	(540) 444-2019

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Roy Pendergrast
Gender	Male
Speciality	Hospitalist
Experience	37 Years
Location	2155 Apperson Dr, Salem, Virginia
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 Roy Pendergrast graduated from medical school in 1987

NPI Data:

NPI Number: 1255304697
Provider Enumeration Date: 02/08/2006
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7719073410
Enrollment ID: I20220421001390

Medical Identifiers

Medical identifiers for Dr Kenneth Roy Pendergrast such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255304697	NPI	-	NPPES
6036732	Medicaid	VA
1255304697	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101042805 (Virginia)	Secondary
208M00000X	Hospitalist	04-45914 (Kansas)	Secondary
208M00000X	Hospitalist	0101042805 (Virginia)	Secondary
207R00000X	Internal Medicine	04-45914 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Western Plains Medical Complex	Dodge city, KS	Hospital
St Catherine Hospital	Garden city, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Catherine Hospital	4789595844	79
Vigilias Llc	9133433279	23

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 Roy Pendergrast allows following entities to bill medicare on his behalf.

Entity Name	St. Catherine Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707

Entity Name	Vigilias Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407242241 PECOS PAC ID: 9133433279 Enrollment ID: O20150803000538

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151112002441

Entity Name	Cogent Healthcare Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20220121000611

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 Roy Pendergrast 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 Roy Pendergrast, MD 2000 Health Park Dr Fl Hp2, Brentwood, TN 37027-4525 Ph: (615) 373-7600	Dr Kenneth Roy Pendergrast, MD 2155 Apperson Dr, Salem, VA 24153-7235 Ph: (540) 444-2010

Reviews and Comments

Internal Medicine Doctors in Salem, VA

John Weidner Knarr, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2155 Apperson Dr, Salem, VA 24153 Phone: 540-444-2010 Fax: 540-444-2019
Jeffrey Blake Lipscomb, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1011
Dr. Andrew Maiolo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3430 Fax: 540-776-2051
Dr. Charles John Schleupner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1970 Roanoke Boulevard, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-855-3406
Dr. Paul D Richards, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-774-8660 Fax: 540-774-9195
Dr. Jane E Lindsay, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-728-0332
Richard Prokopchak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Keagy Rd, Salem, VA 24153 Phone: 540-375-9375 Fax: 540-375-9376

Dr Kenneth Roy Pendergrast, MD - Medicare Hospitalist in Salem, VA