Shalom Medical Inc - Medicare Primary Care in De Pere, WI

Shalom Medical Inc is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in De Pere, Wisconsin. The current practice location for Shalom Medical Inc is 977 Green Ridge Dr, De Pere, Wisconsin. For appointments, you can reach them via phone at (718) 530-8357. The mailing address for Shalom Medical Inc is 977 Green Ridge Dr, De Pere, Wisconsin and phone number is () -.

Shalom Medical Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417318635. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 530-8357.

Contact Information

Shalom Medical Inc
977 Green Ridge Dr
De Pere
WI 54115-7656
(718) 530-8357
(920) 328-9050

Map and Direction


Primary Care Clinic Profile

Full NameShalom Medical Inc
SpecialityInternal Medicine
Location977 Green Ridge Dr, De Pere, Wisconsin
Authorized Official Name and PositionAdetujni Adejumo (OWNER)
Authorized Official Contact7185308357
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shalom Medical Inc
977 Green Ridge Dr
De Pere
WI 54115-7656

Ph: () -
Shalom Medical Inc
977 Green Ridge Dr
De Pere
WI 54115-7656

Ph: (718) 530-8357

NPI Details:

NPI Number1417318635
Provider Enumeration Date03/15/2016
Last Update Date03/15/2016

Medicare PECOS Information:

Medicare PECOS PAC ID2466759279
Medicare Enrollment IDO20160322001861

Medical Identifiers

Medical identifiers for Shalom Medical Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417318635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shalom Medical Inc acts as a billing entity for following providers:
Provider NameAdetunji A Adejumo
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1942532528
PECOS PAC ID: 9638294986
Enrollment ID: I20100910000295

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.