Kyle Shea, is a medicare enrolled "Speech-language Pathologist" provider in Glenwood City, Wisconsin. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. He is a member of the group practice Paxxon Healthcare Services Llc and his current practice location is
612 E Oak St, Glenwood City, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 265-4325.
Kyle Shea is licensed to practice in Wisconsin (license number 4153-154) 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 1285019422.
Healthcare Provider's Profile
| Full Name | Kyle Shea |
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| Gender | Male |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 11 Years |
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| Location | 612 E Oak St, Glenwood City, Wisconsin |
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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. |
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Medical Education and Training:
- Kyle Shea graduated from medical school in 2015
NPI Data:
- NPI Number: 1285019422
- Provider Enumeration Date: 07/29/2015
- Last Update Date: 07/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 1850821646
- Enrollment ID: I20250210000353
Medical Identifiers
Medical identifiers for Kyle Shea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285019422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 4153-154 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Paxxon Healthcare Services Llc | 8325959554 | 149 |
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. Kyle Shea allows following entities to bill medicare on his behalf.
| Provider Name | Paxxon Healthcare Services Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003174087
PECOS PAC ID: 8325959554
Enrollment ID: O20130917000750 |
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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. Kyle Shea 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 |
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Kyle Shea,
2510 W Princeton Ave,
Eau Claire, WI 54703-3784
Ph: (715) 379-6323 | Kyle Shea,
612 E Oak St,
Glenwood City, WI 54013-8520
Ph: (715) 265-4325 |
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