Shiloh Medical Center Inc - Medicare Primary Care in Victorville, CA

Shiloh Medical Center Inc is a medicare enrolled primary clinic (Family Medicine) in Victorville, California. The current practice location for Shiloh Medical Center Inc is 12332 Hesperia Rd, Ste A, Victorville, California. For appointments, you can reach them via phone at (760) 243-4009. The mailing address for Shiloh Medical Center Inc is 12332 Hesperia Rd, Ste A, Victorville, California and phone number is (760) 243-4009.

Shiloh Medical Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245333830. 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 (760) 243-4009.

Contact Information

Shiloh Medical Center Inc
12332 Hesperia Rd
Ste A
Victorville
CA 92395
(760) 243-4009
(760) 243-3255

Primary Care Clinic Profile

Full NameShiloh Medical Center Inc
SpecialityFamily Medicine
Location12332 Hesperia Rd, Victorville, California
Authorized Official Name and PositionCharmaine E Earle (PRESIDENT)
Authorized Official Contact7602434009
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shiloh Medical Center Inc
12332 Hesperia Rd
Ste A
Victorville
CA 92395

Ph: (760) 243-4009
Shiloh Medical Center Inc
12332 Hesperia Rd
Ste A
Victorville
CA 92395

Ph: (760) 243-4009

NPI Details:

NPI Number1245333830
Provider Enumeration Date09/07/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2163456377
Medicare Enrollment IDO20050926001173

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Medical Identifiers

Medical identifiers for Shiloh Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245333830NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Shiloh Medical Center Inc acts as a billing entity for following providers:
Provider NameCharmaine E Earle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598833303
PECOS PAC ID: 8325072531
Enrollment ID: I20050927000157

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Provider NameTere-monique Oresa Carrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376006544
PECOS PAC ID: 0648668533
Enrollment ID: I20211026001892

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Provider NameAlvenia Murray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174281208
PECOS PAC ID: 0749641215
Enrollment ID: I20230731003113

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Provider NameJudith K Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588364640
PECOS PAC ID: 7012379795
Enrollment ID: I20230811001630

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Family Medicine in Victorville, CA

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Medicare: Not Enrolled in Medicare
Practice Location: 13010 Hesperia Rd, Suite 1, Victorville, CA 92395
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Om Sood Md A Professional Medical Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 12998 Hesperia Rd, Suite 101, Victorville, CA 92395
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Victorville Multidiagnosis Clinic
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Medicare: Not Enrolled in Medicare
Practice Location: 12625 Hesperia Rd, Victorville, CA 92395
Phone: 909-382-3080    Fax: 909-382-3105
Specialty Health Partners, Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 12984 Hesperia Rd Ste 101, Victorville, CA 92395
Phone: 760-243-4009    Fax: 760-513-9770

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