Samuel G Dillman

M.D. | Pediatric Emergency Medicine | Male

---

Complete Profile:

Samuel G Dillman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Samuel G Dillman
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Samuel G Dillman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	600 Highland Ave Madison, WI, 53792-4619 United States
Phone Number :	608-262-2398

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1891149191
NPI Entity Type :	Individual
First Enrolment Date :	22 Apr, 2016
Last Updated On :	20 Jul, 2022

Medicare Participation:

Samuel G Dillman participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9234493602
Medicare Enrollment ID :	I20220803003368
Primary Specialty :	Emergency Medicine
Medical School :	Medical College Of Wisconsin
Graduation Year :	2016
Accepts Medicare?	Yes. Samuel G Dillman accepts medicare insurance.

Group Practice Association:

Samuel G Dillman is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Samuel G Dillman is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Wisconsin Medical Foundation Inc	6608785464	2030	600 Highland Ave Madison, WI - 537920001 Ph: 6082636400	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel G Dillman are as mentioned. Primary taxonomy code for Samuel G Dillman, M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207P00000X	Emergency Medicine	No	68118	WI
208000000X	Pediatrics	No	2019024479	MO
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	68118	WI

Other Practice Locations:

Practice Address	City, State	Phone Number
7624 W LORRAINE PL, MILWAUKEE, WI, 53222-5038 United States	MILWAUKEE, WI	262-949-6622
2401 GILLHAM RD, KANSAS CITY, MO, 64108-4619 United States	KANSAS CITY, MO	262-949-6622

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	7974 Uw Health Ct Middleton, WI, 53562-5531 United States

Business Location:

Patients can refer following map for directions to Samuel G Dillman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.