Shelbydale Medical Clinic, P.c. in Shelby Twp, MI

Shelbydale Medical Clinic, P.c. is a medicare enrolled primary clinic (Family Medicine) in Shelby Twp, Michigan. The current practice location for Shelbydale Medical Clinic, P.c. is 49221 Van Dyke Ave, Shelby Twp, Michigan. For appointments, you can reach them via phone at (586) 254-4860. The mailing address for Shelbydale Medical Clinic, P.c. is 49221 Van Dyke Ave, Shelby Twp, Michigan and phone number is (586) 254-4860.

Shelbydale Medical Clinic, P.c. is licensed to practice in Michigan (license number KT008999). The clinic also participates in the medicare program and its NPI number is 1629258488. 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 (586) 254-4860.

Contact Information

	Shelbydale Medical Clinic, P.c.
	49221 Van Dyke Ave Shelby Twp MI 48317-1336
	(586) 254-4860
	(586) 254-5844

Map and Direction

Primary Care Clinic Profile

Full Name	Shelbydale Medical Clinic, P.c.
Speciality	Family Medicine
Location	49221 Van Dyke Ave, Shelby Twp, Michigan
Authorized Official Name and Position	Keith B Tom (PRESIDENT)
Authorized Official Contact	5862544860
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shelbydale Medical Clinic, P.c. 49221 Van Dyke Ave Shelby Twp MI 48317-1336 Ph: (586) 254-4860	Shelbydale Medical Clinic, P.c. 49221 Van Dyke Ave Shelby Twp MI 48317-1336 Ph: (586) 254-4860

NPI Details:

NPI Number	1629258488
Provider Enumeration Date	11/09/2007
Last Update Date	11/09/2007

Medicare PECOS Information:

Medicare PECOS PAC ID	4880651405
Medicare Enrollment ID	O20041215000750

Medical Identifiers

Medical identifiers for Shelbydale Medical Clinic, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629258488	NPI	-	NPPES
2646558	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	KT008999 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shelbydale Medical Clinic, P.c. acts as a billing entity for following providers:

Provider Name	Keith Brian Tom
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1609850130 PECOS PAC ID: 1052378676 Enrollment ID: I20041215000775

Reviews and Comments

Family Medicine in Shelby Twp, MI

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Shelbydale Medical Clinic, P.c. - Medicare Primary Care in Shelby Twp, MI