Dr Kenneth James Shea Iii, MD 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, St Lukes Hospital Of Duluth 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

Map and Direction

Physician's Profile

Full Name	Dr Kenneth James Shea Iii
Gender	Male
Speciality	Neurology
Experience	16 Years
Location	3540 17th Ave S, Saint Cloud, Minnesota
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 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.

Identifier	Type	State	Issuer
1881855187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084V0102X	Psychiatry & Neurology - Vascular Neurology	57322 (Minnesota)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	57322 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Cloud Hospital	Saint cloud, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centracare Clinic	2466363395	632
St Lukes Hospital Of Duluth	7113834839	366

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 Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	St Lukes Hospital Of Duluth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212

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 Address	Practice 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

Reviews and Comments

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

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