Dr Kevin Barry Shute, MD is a medicare enrolled "Anesthesiology" physician in Thomasville, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 2005 and has 21 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Novant Health Medical Group, Llc and his current practice location is
211 Old Lexington Rd, Thomasville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 422-6615.
Dr Kevin Barry Shute is licensed to practice in North Carolina (license number 2008-01060) 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 1770763724.
Physician's Profile
| Full Name | Dr Kevin Barry Shute |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 21 Years |
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| Location | 211 Old Lexington Rd, Thomasville, North Carolina |
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| 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 Kevin Barry Shute attended and graduated from Wake Forest University School Of Medicine in 2005
NPI Data:
- NPI Number: 1770763724
- Provider Enumeration Date: 11/07/2007
- Last Update Date: 01/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 4587788203
- Enrollment ID: I20110419000850
Medical Identifiers
Medical identifiers for Dr Kevin Barry Shute such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770763724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | 46222 (Tennessee) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 2008-01060 (North Carolina) | Secondary |
| 207L00000X | Anesthesiology | 2008-01060 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
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 Kevin Barry Shute allows following entities to bill medicare on his behalf.
| Entity Name | Novant Health Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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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 Kevin Barry Shute 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 Kevin Barry Shute, MD 207 Old Lexington Rd, Thomasville, NC 27360-3428 Ph: (336) 422-6615 | Dr Kevin Barry Shute, MD 211 Old Lexington Rd, Thomasville, NC 27360-3428 Ph: (336) 422-6615 |
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