Kenneth Alan Shore, MD - Medicare Internal Medicine in Plano, TX

Kenneth Alan Shore, MD is a medicare enrolled "Internal Medicine" physician in Plano, Texas. He went to Eastern Virginia Medical School and graduated in 1980 and has 44 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Legacy Healthcare Services Inc, Medical Clinic Of North Texas, Pllc and his current practice location is 5501 Independence Pkwy Ste 110, Plano, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 596-1747.

Kenneth Alan Shore is licensed to practice in Texas (license number G6231) 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 1114960606.

Contact Information

Kenneth Alan Shore, MD
5501 Independence Pkwy Ste 110,
Plano, TX 75023-5472
(972) 596-1747
(972) 985-9775

Map and Direction




Physician's Profile

Full NameKenneth Alan Shore
GenderMale
SpecialityInternal Medicine
Experience44 Years
Location5501 Independence Pkwy Ste 110, Plano, Texas
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:
  • Kenneth Alan Shore attended and graduated from Eastern Virginia Medical School in 1980
  NPI Data:
  • NPI Number: 1114960606
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 11/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9739271529
  • Enrollment ID: I20100511001001

Medical Identifiers

Medical identifiers for Kenneth Alan Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114960606NPI-NPPES
098591301MedicaidTX
098591303MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G6231 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical City PlanoPlano, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397222654
Medical Clinic Of North Texas, Pllc9830084540206

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. Kenneth Alan Shore allows following entities to bill medicare on his behalf.
Entity NameMedical Clinic Of North Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033167234
PECOS PAC ID: 9830084540
Enrollment ID: O20040430001258

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. Kenneth Alan Shore 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
Kenneth Alan Shore, MD
5501 Independence Pkwy Ste 110,
Plano, TX 75023-5472

Ph: (972) 596-1747
Kenneth Alan Shore, MD
5501 Independence Pkwy Ste 110,
Plano, TX 75023-5472

Ph: (972) 596-1747

Reviews and Comments


Internal Medicine Doctors in Plano, TX

Yinghui Liu, MD, PHD
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Dr. Mukesh Kumar D Delvadiya, M.D.
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Sean Allan Townsend, M.D.
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Phone: 469-800-6000    Fax: 469-800-6052
Dr. Vijay Sitharam Ramanath, M.D.
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Phone: 972-378-9560    Fax: 844-290-4363
Samuel Afenir Piga, M.D.
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Medicare: Medicare Enrolled
Practice Location: 3105 W 15th St, Suite E, Plano, TX 75075
Phone: 469-467-9755    Fax: 972-801-9917
Dr. Maria Love Lee, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6200 W Parker Rd, Plano, TX 75093
Phone: 972-293-5151    Fax: 972-981-3967

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.