Kenneth F Shockley, DO in Grand Rapids, MI

Kenneth F Shockley, DO is a medicare enrolled "Urology" physician in Grand Rapids, Michigan. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1989 and has 36 years of diverse experience with area of expertise as Urology. He is a member of the group practice Michigan Urological Clinic, Metropolitan Hospital and his current practice location is 4047 Saladin Dr Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 956-9577.

Kenneth F Shockley is licensed to practice in Michigan (license number 5101010606) 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 1801854039.

Contact Information

	Kenneth F Shockley, DO
	4047 Saladin Dr Se, Grand Rapids, MI 49546-6249
	(616) 956-9577
	(616) 956-5988

Map and Direction

Physician's Profile

Full Name	Kenneth F Shockley
Gender	Male
Speciality	Urology
Experience	36 Years
Location	4047 Saladin Dr Se, Grand Rapids, Michigan
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:

Kenneth F Shockley attended and graduated from Philadelphia College Of Osteopathic Medicine in 1989

NPI Data:

NPI Number: 1801854039
Provider Enumeration Date: 05/04/2006
Last Update Date: 10/17/2017

Medicare PECOS Information:

PECOS PAC ID: 9436120433
Enrollment ID: I20080404000199

Medical Identifiers

Medical identifiers for Kenneth F Shockley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801854039	NPI	-	NPPES
3153602	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	5101010606 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Metro Health Hospital	Wyoming, MI	Hospital
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Michigan Urological Clinic	4183694870	5
Metropolitan Hospital	5597651836	382

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 F Shockley allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012

Entity Name	Michigan Urological Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376586164 PECOS PAC ID: 4183694870 Enrollment ID: O20040729000832

Entity Name	Metropolitan Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1487813200 PECOS PAC ID: 5597651836 Enrollment ID: O20080711000526

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 F Shockley 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
Kenneth F Shockley, DO 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249 Ph: (616) 956-9577	Kenneth F Shockley, DO 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249 Ph: (616) 956-9577

Reviews and Comments

Urology Doctors in Grand Rapids, MI

Erik M Ratchford, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 245 Cherry St Se,, Suite 202, Grand Rapids, MI 49503 Phone: 616-459-3551 Fax: 616-459-1060
Alexander Michael Shannon, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506 Phone: 616-267-7333
Dr. John Glenn Anema, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044
Dr. Hector Pimentel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 100, Grand Rapids, MI 49506 Phone: 616-267-7333
Dr. George Francis Steinhardt, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne, Suite 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044
Theodore Dale Barber, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503 Phone: 616-459-4171 Fax: 616-459-0044
Richard Kahnoski, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546 Phone: 616-774-9333

Kenneth F Shockley, DO - Medicare Urology in Grand Rapids, MI