Kenneth W Shewell, MD is a medicare enrolled "Surgery" physician in Bethany, Missouri. His current practice location is
2600 Miller St, Bethany, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 425-0253.
Kenneth W Shewell is licensed to practice in Missouri (license number 112862) 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 1700854023.
Physician's Profile
| Full Name | Kenneth W Shewell |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 2600 Miller St, Bethany, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700854023
- Provider Enumeration Date: 03/11/2006
- Last Update Date: 01/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305944901
- Enrollment ID: I20111025000465
Medical Identifiers
Medical identifiers for Kenneth W Shewell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700854023 | NPI | - | NPPES |
| 208865105 | Medicaid | MO | |
| 020037751 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 112862 (Missouri) | 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. Kenneth W Shewell allows following entities to bill medicare on his behalf.
| Entity Name | Saint Luke's Hospital Of Trenton |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841274057 PECOS PAC ID: 3971495532 Enrollment ID: O20040327000339 |
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| Entity Name | Saint Lukes Hospital Of Chillicothe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245433127 PECOS PAC ID: 0143130393 Enrollment ID: O20041014000548 |
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| Entity Name | Harrison County Community Hospital District |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1528062569 PECOS PAC ID: 4587630926 Enrollment ID: O20071201000173 |
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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. Kenneth W Shewell 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 W Shewell, MD Po Box 8657, Saint Joseph, MO 64508-8657 Ph: (816) 866-5105 | Kenneth W Shewell, MD 2600 Miller St, Bethany, MO 64424-2701 Ph: (660) 425-0253 |
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