Dr Kenneth Neil Shaw, MD - Medicare Emergency Medicine in Sevierville, TN

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Dr Kenneth Neil Shaw, MD is a medicare enrolled "Emergency Medicine" physician in Sevierville, Tennessee. His current practice location is 709 Middle Creek Rd, Sevierville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 453-7111.

Dr Kenneth Neil Shaw is licensed to practice in Tennessee (license number MD021361) 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 1124060249.

Contact Information

Dr Kenneth Neil Shaw, MD
709 Middle Creek Rd,
Sevierville, TN 37862-5047
(865) 453-7111
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Neil Shaw
GenderMale
SpecialityEmergency Medicine
Location709 Middle Creek Rd, Sevierville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124060249
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 11/29/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0244280162
  • Enrollment ID: I20050128000212

Medical Identifiers

Medical identifiers for Dr Kenneth Neil Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124060249NPI-NPPES
3081457OtherTNBLUE CROSS
0154929OtherTNBLUE CROSS
3816910MedicaidTN
P00211373OtherTNRAILROAD MEDICARE
P00312153OtherTNRAILROAD MEDICARE
3816911MedicaidTN
64035975MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD021361 (Tennessee)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. Dr Kenneth Neil Shaw allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997

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 Neil Shaw 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 Kenneth Neil Shaw, MD
Po Box 634706,
Cincinnati, OH 45263-0001

Ph: () -		Dr Kenneth Neil Shaw, MD
709 Middle Creek Rd,
Sevierville, TN 37862-5047

Ph: (865) 453-7111

Reviews and Comments


Emergency Medicine Doctors in Sevierville, TN

Edmund Joseph Timpano, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862
Phone: 865-466-7000    
Mary Frances Dukes, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862
Phone: 865-446-7000    
Dr. Evann Max Herrell, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862
Phone: 865-446-7000    
Zeke Oliver,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862
Phone: 865-446-7000    
Benjamin Huston Murphy,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862
Phone: 865-446-7000    
Carol R. Parks, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3158 Smokies Edge Road, Sevierville, TN 37862
Phone: 865-429-2331    

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.