Kevin Shi, in Pinehurst, NC - Medicare Dermatology

Kevin Shi, is a medicare enrolled "Dermatology" physician in Pinehurst, North Carolina. His current practice location is 5 Regional Cir # Bc, Pinehurst, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 322-7546.

Kevin Shi is licensed to practice in North Carolina (license number 202400393) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033679824.

Contact Information

	Kevin Shi,
	5 Regional Cir # Bc, Pinehurst, NC 28374-9863
	(828) 322-7546
	(828) 322-9927

Map and Direction

Physician's Profile

Full Name	Kevin Shi
Gender	Male
Speciality	Dermatology
Location	5 Regional Cir # Bc, Pinehurst, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033679824
Provider Enumeration Date: 03/20/2019
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 5294175345
Enrollment ID: I20240506004497

Medical Identifiers

Medical identifiers for Kevin Shi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033679824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	202400393 (North Carolina)	Secondary
207N00000X	Dermatology	202400393 (North Carolina)	Primary

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. Kevin Shi allows following entities to bill medicare on his behalf.

Entity Name	Skin Surgery Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649237082 PECOS PAC ID: 3173599479 Enrollment ID: O20040908000943

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. Kevin Shi 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
Kevin Shi, 1450 Professional Park Dr Ste 150, Winston Salem, NC 27103-1307 Ph: (336) 724-2434	Kevin Shi, 5 Regional Cir # Bc, Pinehurst, NC 28374-9863 Ph: (828) 322-7546

Reviews and Comments

Dermatology Doctors in Pinehurst, NC

Pamela Jenny Marie Guest, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 205 Page Road, Pinehurst, NC 28374 Phone: 910-295-5511 Fax: 910-235-3400
Joshua B Eickstaedt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5 First Village Dr Ste 101, Pinehurst, NC 28374 Phone: 910-295-1761 Fax: 910-295-2937
Juliann S Wallner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 910-235-3330 Fax: 910-235-3400
Mr. Reynold Carter Grine, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 185 Page Road, Suite A, Pinehurst, NC 28374 Phone: 910-295-5567 Fax: 910-295-3315
Sarah Elizabeth Vieta, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10 Trotter Hills Cir, Pinehurst, NC 28374 Phone: 910-420-1282 Fax: 910-420-1116
Dr. Diane Subin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 40 Aviemore Dr, Pinehurst, NC 28374 Phone: 910-295-3100 Fax: 910-295-1460

Kevin Shi, - Medicare Dermatology in Pinehurst, NC