Dr Kerry Mark Shafran, MD - Medicare Dermatology in Cornelius, NC

Dr Kerry Mark Shafran, MD is a medicare enrolled "Dermatology" physician in Cornelius, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Skin Surgery Center Pa and his current practice location is 17039 Kenton Dr Ste 100, Cornelius, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 896-8837.

Dr Kerry Mark Shafran is licensed to practice in North Carolina (license number 39997) 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 1740394543.

Contact Information

Dr Kerry Mark Shafran, MD
17039 Kenton Dr Ste 100,
Cornelius, NC 28031-5776
(704) 896-8837
(704) 896-8892



Physician's Profile

Full NameDr Kerry Mark Shafran
GenderMale
SpecialityDermatology
Experience38 Years
Location17039 Kenton Dr Ste 100, Cornelius, North Carolina
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 Kerry Mark Shafran attended and graduated from Wake Forest University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1740394543
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 10/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395736987
  • Enrollment ID: I20120308000561

Medical Identifiers

Medical identifiers for Dr Kerry Mark Shafran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740394543NPI-NPPES
0179TOtherNCBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 39997 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Skin Surgery Center Pa317359947954

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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 Kerry Mark Shafran allows following entities to bill medicare on his behalf.
Entity NameSkin Surgery Center Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649237082
PECOS PAC ID: 3173599479
Enrollment ID: O20040908000943

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Entity NameRiva Aesthetic Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285999490
PECOS PAC ID: 9032361456
Enrollment ID: O20121212000058

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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 Kerry Mark Shafran 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 Kerry Mark Shafran, MD
17039 Kenton Dr Ste 100,
Cornelius, NC 28031-5776

Ph: (704) 896-8837
Dr Kerry Mark Shafran, MD
17039 Kenton Dr Ste 100,
Cornelius, NC 28031-5776

Ph: (704) 896-8837

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Dermatology Doctors in Cornelius, NC

Dr. Joanne Kelly Simpson, MD, MPH
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 201, Cornelius, NC 28031
Phone: 704-364-6110    
Erin Marie Dodd, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 17039 Kenton Dr Ste 100, Cornelius, NC 28031
Phone: 704-896-8837    

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