Dr Shem Kearney Blackley Iii, MD 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

Map and Direction

Physician's Profile

Full Name	Dr Shem Kearney Blackley Iii
Gender	Male
Speciality	Urology
Experience	41 Years
Location	1001 N Washington St, Shelby, North Carolina
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 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.

Identifier	Type	State	Issuer
1578576674	NPI	-	NPPES
340013360	Other	NC	RR MEDICARE
32340	Other	NC	NC MEDICAL LICENSE #
230126	Other	NC	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	32340 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Atrium Health Cleveland	Shelby, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stone Institute Of The Carolinas Llc	3173412533	30
Carolina Urology Partners Pllc	8921280587	36

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 Name	Stone Institute Of The Carolinas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457377954 PECOS PAC ID: 3173412533 Enrollment ID: O20040312001126

Entity Name	Carolina Urology Partners Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013210004 PECOS PAC ID: 8921280587 Enrollment ID: O20110303000580

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 Address	Practice 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

Reviews and Comments

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

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