T/a Shiloh Medical Group is a medicare enrolled primary clinic (Internal Medicine) in Shiloh, New Jersey. The current practice location for T/a Shiloh Medical Group is 851 Main St, Shiloh, New Jersey. For appointments, you can reach them via phone at
(856) 455-1464. The mailing address for T/a Shiloh Medical Group is Po Box 110, Shiloh, New Jersey and phone number is (856) 455-1464.
T/a Shiloh Medical Group is licensed to practice in New Jersey (license number MA53365). The clinic also participates in the medicare program and its
NPI number is 1003904269. 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
(856) 455-1464.
Primary Care Clinic Profile
| Full Name | T/a Shiloh Medical Group |
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| Speciality | Internal Medicine |
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| Location | 851 Main St, Shiloh, New Jersey |
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| Authorized Official Name and Position | Robert W Dickson (SOLE OWNER) |
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| Authorized Official Contact | 8564551464 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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T/a Shiloh Medical Group
Po Box 110
Shiloh
NJ 08353-0110
Ph: (856) 455-1464 | T/a Shiloh Medical Group
851 Main St
Shiloh
NJ 08353-8505
Ph: (856) 455-1464 |
NPI Details:
| NPI Number | 1003904269 |
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| Provider Enumeration Date | 10/11/2006 |
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| Last Update Date | 07/16/2013 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7113972688 |
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| Medicare Enrollment ID | O20050317000335 |
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Medical Identifiers
Medical identifiers for T/a Shiloh Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003904269 | NPI | - | NPPES |
| 2673304 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MA53365 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
T/a Shiloh Medical Group acts as a billing entity for following providers:
| Provider Name | Robert W Dickson |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1851314017
PECOS PAC ID: 4688619224
Enrollment ID: I20050623000432 |
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