Dr Shem Kearney Blackley Iv, MD in Winston Salem, NC

Dr Shem Kearney Blackley Iv, MD is a medicare enrolled "Surgery" physician in Winston Salem, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as General Surgery. His current practice location is 1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 713-4211.

Dr Shem Kearney Blackley Iv is licensed to practice in North Carolina (license number 2026-02846) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1649857202.

Contact Information

	Dr Shem Kearney Blackley Iv, MD
	1 Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 713-4211
	(336) 716-9758

Map and Direction

Physician's Profile

Full Name	Dr Shem Kearney Blackley Iv
Gender	Male
Speciality	General Surgery
Experience	5 Years
Location	1 Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shem Kearney Blackley Iv attended and graduated from Wake Forest University School Of Medicine in 2021

NPI Data:

NPI Number: 1649857202
Provider Enumeration Date: 03/28/2021
Last Update Date: 06/19/2026

Medicare PECOS Information:

PECOS PAC ID: 0840694147
Enrollment ID: I20260604003586

Medical Identifiers

Medical identifiers for Dr Shem Kearney Blackley Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649857202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2026-02846 (North Carolina)	Primary
208600000X	Surgery	MD.45368 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Iv 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 Iv, MD 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 713-4211	Dr Shem Kearney Blackley Iv, MD 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 713-4211

Reviews and Comments

Surgery Doctors in Winston Salem, NC

Nikhil Teppara, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2915 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-5221 Fax: 336-765-0430
Gregory Stiegler Waters, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637
Charles Siewers Turner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637
Konstantinos Ioannis Votanopoulos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637
Bansi P Shah, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3318 Healy Dr, Winston Salem, NC 27103 Phone: 336-768-3530 Fax: 336-768-1329
Jennifer Andrews Sumner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4241
Ashley Elizabeth Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2827 Lyndhurst Ave Ste 203, Winston Salem, NC 27103 Phone: 336-794-8624 Fax: 336-231-8845

Dr Shem Kearney Blackley Iv, MD - Medicare General Surgery in Winston Salem, NC