Dr Jack B Quigley, MD is a medicare enrolled "Plastic Surgery" physician in Flagstaff, Arizona. He went to Southern Illinois University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Plastic Surgeons Of Northern Arizona, Pllc and his current practice location is
1020 N San Francisco St, # 200, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 774-2300.
Dr Jack B Quigley is licensed to practice in Arizona (license number 20243) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861495137.
Physician's Profile
| Full Name | Dr Jack B Quigley |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 41 Years |
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| Location | 1020 N San Francisco St, Flagstaff, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack B Quigley attended and graduated from Southern Illinois University School Of Medicine in 1983
NPI Data:
- NPI Number: 1861495137
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 4082705090
- Enrollment ID: I20070806000536
Medical Identifiers
Medical identifiers for Dr Jack B Quigley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861495137 | NPI | - | NPPES |
| 2004440 | Other | AZ | CIGNA |
| AZ0355110 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 054768 | Medicaid | AZ | |
| 18032746 | Other | AZ | STATE COMP AZ |
| 20243 | Other | AZ | AZ LICENSE |
| P054768 | Medicaid | AZ | |
| 8607474153000 | Other | AZ | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 20243 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Plastic Surgeons Of Northern Arizona, Pllc | 8224922182 | 5 |
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. Dr Jack B Quigley allows following entities to bill medicare on his behalf.
| Entity Name | Plastic Surgeons Of Northern Arizona, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871531418
PECOS PAC ID: 8224922182
Enrollment ID: O20040211000614 |
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| Entity Name | Northern Arizona Healthcare Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409 |
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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. Dr Jack B Quigley 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 |
|---|
Dr Jack B Quigley, MD
1020 N San Francisco St, # 200,
Flagstaff, AZ 86001-3281
Ph: (928) 774-2300 | Dr Jack B Quigley, MD
1020 N San Francisco St, # 200,
Flagstaff, AZ 86001-3281
Ph: (928) 774-2300 |
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