La Quinn Md Pa is a medicare enrolled "Phlebology" provider in Jacksonville Beach, Florida. Their current practice location is
484 Jacksonville Dr, Jacksonville Beach, Florida. You can reach out to their office (for appointments etc.) via phone at
(904) 595-5980.
La Quinn Md Pa is licensed to practice in Florida (license number ME94947) and it also participates in the medicare program. La Quinn Md Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1013076330.
Healthcare Provider's Profile
| Full Name | La Quinn Md Pa |
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| Type | Facility |
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| Speciality | Phlebology |
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| Location | 484 Jacksonville Dr, Jacksonville Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013076330
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 10/31/2013
Medicare PECOS Information:
- PECOS PAC ID: 8022252196
- Enrollment ID: O20130912000163
Medical Identifiers
Medical identifiers for La Quinn Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013076330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | ME94947 (Florida) | Secondary |
| 202K00000X | Phlebology | ME94947 (Florida) | Primary |
| 207NS0135X | Dermatology - Procedural Dermatology | ME94947 (Florida) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | ME94947 (Florida) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
La Quinn Md Pa acts as a billing entity for following providers:
| Provider Name | Linda A Quinn |
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| Provider Type | Practitioner - Obstetrics/gynecology |
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| Provider Identifiers | NPI Number: 1437100187
PECOS PAC ID: 2062425077
Enrollment ID: I20060717000064 |
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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. La Quinn Md Pa 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 |
|---|
La Quinn Md Pa
484 Jacksonville Dr,
Jacksonville Beach, FL 32250-3812
Ph: (904) 595-5980 | La Quinn Md Pa
484 Jacksonville Dr,
Jacksonville Beach, FL 32250-3812
Ph: (904) 595-5980 |
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