Dr Shem Kearney Blackley Iii, MD - Medicare Urology in Shelby, NC

Dr Shem Kearney Blackley Iii, MD is a medicare enrolled "Urology" physician in Shelby, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Urology. He is a member of the group practice Stone Institute Of The Carolinas Llc, Carolina Urology Partners Pllc and his current practice location is 1001 N Washington St, Shelby, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 482-2011.

Dr Shem Kearney Blackley Iii is licensed to practice in North Carolina (license number 32340) 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 1578576674.

Contact Information

Dr Shem Kearney Blackley Iii, MD
1001 N Washington St,
Shelby, NC 28150-1800
(704) 482-2011
(704) 484-0303



Physician's Profile

Full NameDr Shem Kearney Blackley Iii
GenderMale
SpecialityUrology
Experience41 Years
Location1001 N Washington St, Shelby, 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 Shem Kearney Blackley Iii attended and graduated from Wake Forest University School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1578576674
  • Provider Enumeration Date: 08/14/2006
  • Last Update Date: 05/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688632110
  • Enrollment ID: I20100423000725

Medical Identifiers

Medical identifiers for Dr Shem Kearney Blackley Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578576674NPI-NPPES
340013360OtherNCRR MEDICARE
32340OtherNCNC MEDICAL LICENSE #
230126OtherNCMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 32340 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Health ClevelandShelby, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stone Institute Of The Carolinas Llc317341253332
Carolina Urology Partners Pllc892128058738

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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 Shem Kearney Blackley Iii allows following entities to bill medicare on his behalf.
Entity NameStone Institute Of The Carolinas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457377954
PECOS PAC ID: 3173412533
Enrollment ID: O20040312001126

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Entity NameCarolina Urology Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013210004
PECOS PAC ID: 8921280587
Enrollment ID: O20110303000580

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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 Shem Kearney Blackley 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 Shem Kearney Blackley Iii, MD
9735 Kincey Ave, Suite 201,
Huntersville, NC 28078-9118

Ph: (704) 414-2870
Dr Shem Kearney Blackley Iii, MD
1001 N Washington St,
Shelby, NC 28150-1800

Ph: (704) 482-2011

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On a daily basis we are surrounded with images of appetizing and often unhealthy food on TV adverts, billboards, in magazines and everywhere we go.

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Read more News

› Verified 6 days ago


Urology Doctors in Shelby, NC

Dr. Johnson H Kelly, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 201 E Grover St, Shelby, NC 28150
Phone: 980-487-4721    Fax: 980-487-3942
Dr. David B Barker, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 951 Wendover Heights Dr, Shelby, NC 28150
Phone: 704-487-4677    Fax: 704-481-8050
Dr. Michael Eugene Brame, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1001 N Washington St, Shelby, NC 28150
Phone: 704-482-2011    Fax: 704-484-0303
Dr. Robert Peter Gossett, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1001 N Washington St, Shelby, NC 28150
Phone: 704-482-2011    Fax: 704-484-0303

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