Dr Kenneth James Shea Iii, MD - Medicare Neurology in Saint Cloud, MN

Dr Kenneth James Shea Iii, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Saint Cloud, Minnesota. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2008 and has 16 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Centracare Clinic and his current practice location is 3540 17th Ave S, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 766-2680.

Dr Kenneth James Shea Iii is licensed to practice in Minnesota (license number 57322) 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 1881855187.

Contact Information

Dr Kenneth James Shea Iii, MD
3540 17th Ave S,
Saint Cloud, MN 56301-9664
(320) 766-2680
Not Available



Physician's Profile

Full NameDr Kenneth James Shea Iii
GenderMale
SpecialityNeurology
Experience16 Years
Location3540 17th Ave S, Saint Cloud, Minnesota
Accepts Medicare AssignmentsYes. 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 James Shea Iii attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2008
  NPI Data:
  • NPI Number: 1881855187
  • Provider Enumeration Date: 06/19/2008
  • Last Update Date: 03/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799910212
  • Enrollment ID: I20131108000429

Medical Identifiers

Medical identifiers for Dr Kenneth James Shea Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881855187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084V0102XPsychiatry & Neurology - Vascular Neurology 57322 (Minnesota)Secondary
2084N0400XPsychiatry & Neurology - Neurology 57322 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Cloud HospitalSaint cloud, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395632

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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 James Shea Iii allows following entities to bill medicare on his behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293

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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 James Shea Iii 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 James Shea Iii, MD
3540 17th Ave S,
Saint Cloud, MN 56301-9664

Ph: (320) 766-2680
Dr Kenneth James Shea Iii, MD
3540 17th Ave S,
Saint Cloud, MN 56301-9664

Ph: (320) 766-2680

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Psychiatry & Neurology Doctors in Saint Cloud, MN

Elizabeth Rende,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-251-2700    
Dr. Kurt Lawrence Fox, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303
Phone: 320-252-1670    Fax: 320-255-6378
Dale Robert Anderson, MS CPRP
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301
Phone: 320-240-3324    Fax: 320-240-3339
Leah Ann Thronaum, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-240-2829    Fax: 320-240-2830
Dr. Jaya Johari Varma, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303
Phone: 320-255-6480    Fax: 320-255-6426
Dr. Sherrie Lynn Herendeen, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303
Phone: 320-255-6480    
Pushp Raj Kapoor, MD, MRCPI
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-240-2829    

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