Shalem Healing, Inc. is a medicare enrolled "Clinic/center" provider in Milwaukee, Wisconsin. Their current practice location is
3338 N Doctor Martin Luther King Jr. Drive, Milwaukee, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(414) 640-5433.
Shalem Healing, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Shalem Healing, Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073801395.
Healthcare Provider's Profile
| Full Name | Shalem Healing, Inc. |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
|---|
| Location | 3338 N Doctor Martin Luther King Jr. Drive, Milwaukee, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1073801395
- Provider Enumeration Date: 07/20/2011
- Last Update Date: 12/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577932292
- Enrollment ID: O20221219002521
Medical Identifiers
Medical identifiers for Shalem Healing, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073801395 | NPI | - | NPPES |
| 39909600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Shalem Healing, Inc. acts as a billing entity for following providers:
| Provider Name | Robert J Fox |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1346419686
PECOS PAC ID: 7911178884
Enrollment ID: I20110926000539 |
|---|
| Provider Name | Jessica L Urban |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1144624172
PECOS PAC ID: 9830412576
Enrollment ID: I20150105000015 |
|---|
| Provider Name | Jill A Allen |
|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1679340186
PECOS PAC ID: 0941652770
Enrollment ID: I20240117003587 |
|---|
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. Shalem Healing, Inc. 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 |
|---|
Shalem Healing, Inc.
3338 N Doctor Martin Luther King Jr. Drive,
Milwaukee, WI 53212
Ph: () - | Shalem Healing, Inc.
3338 N Doctor Martin Luther King Jr. Drive,
Milwaukee, WI 53212
Ph: (414) 640-5433 |
Reviews and Comments