Shiloh Tackett, in Traverse City, MI - Medicare Pulmonary Disease

Shiloh Tackett, is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Traverse City, Michigan. She went to Wayne State University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Munson Medical Center and her current practice location is 5087 N Royal Dr, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-0440.

Shiloh Tackett is licensed to practice in Michigan (license number 4301502100) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336567643.

Contact Information

	Shiloh Tackett,
	5087 N Royal Dr, Traverse City, MI 49684-6987
	(231) 935-0440
	(231) 935-0445

Map and Direction

Physician's Profile

Full Name	Shiloh Tackett
Gender	Female
Speciality	Pulmonary Disease
Experience	12 Years
Location	5087 N Royal Dr, Traverse City, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shiloh Tackett attended and graduated from Wayne State University School Of Medicine in 2014

NPI Data:

NPI Number: 1336567643
Provider Enumeration Date: 04/03/2014
Last Update Date: 04/07/2026

Medicare PECOS Information:

PECOS PAC ID: 4688899677
Enrollment ID: I20200629000275

Medical Identifiers

Medical identifiers for Shiloh Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336567643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	4301502100 (Michigan)	Primary
207RC0200X	Internal Medicine - Critical Care Medicine	4301502100 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Munson Medical Center	Traverse city, MI	Hospital
Munson Healthcare Cadillac Hospital	Cadillac, MI	Hospital
Kalkaska Memorial Health Center	Kalkaska, MI	Hospital
Munson Healthcare Manistee Hospital	Manistee, MI	Hospital
Paul Oliver Memorial Hospital	Frankfort, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Munson Medical Center	3072426287	375

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. Shiloh Tackett allows following entities to bill medicare on her behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336175165 PECOS PAC ID: 3072426287 Enrollment ID: O20051109000463

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. Shiloh Tackett 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
Shiloh Tackett, 550 Munson Ave, Traverse City, MI 49686-3580 Ph: (231) 935-6600	Shiloh Tackett, 5087 N Royal Dr, Traverse City, MI 49684-6987 Ph: (231) 935-0440

Reviews and Comments

Internal Medicine Doctors in Traverse City, MI

John P Milliken, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 224 Circle Dr, Traverse City, MI 49684 Phone: 231-935-0525 Fax: 231-935-0529
Dr. David R Hendricks, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 153 1/2 E Front St, Traverse City, MI 49684 Phone: 231-941-6670 Fax: 231-941-6675
Dr. Jill Elizabeth Vollbrecht, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5015 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0850 Fax: 231-935-0850
Dr. Katrina Marie Lawrence-wolff, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3537 W Front St Ste A, Traverse City, MI 49684 Phone: 231-935-8330 Fax: 231-935-3437
Steven M. Lamie, M. D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3537 W Front St, Suite I, Traverse City, MI 49684 Phone: 231-935-8950 Fax: 231-935-8868
Anne M Hepner, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth St, Suite 200, Traverse City, MI 49684 Phone: 231-935-5800 Fax: 231-935-5799
Mark V Galan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684 Phone: 231-935-5710 Fax: 231-935-9045

Shiloh Tackett, - Medicare Pulmonary Disease in Traverse City, MI