Dr Jennifer Quillin, MD | |
13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750-8642 | |
(256) 828-2094 | |
(256) 828-0526 |
Full Name | Dr Jennifer Quillin |
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Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 13596 Hwy 231 431 N, Hazel Green, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710965306 | NPI | - | NPPES |
009924115 | Medicaid | AL | |
51516137 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 25223 (Alabama) | Primary |
Entity Name | Hh Physician Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144860123 PECOS PAC ID: 4082042940 Enrollment ID: O20200309000744 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Quillin, MD 13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750-8642 Ph: (256) 828-2094 | Dr Jennifer Quillin, MD 13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750-8642 Ph: (256) 828-2094 |
Porsche L. Roberson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13596 Highway 231 431 N Ste 2, Hazel Green, AL 35750 Phone: 256-428-4950 Fax: 256-828-0526 | |
Dr. Peter Kinnebrew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750 Phone: 256-828-2094 Fax: 256-828-0526 |