Dr Julian Jerrod Jesubatham, MD is a medicare enrolled "Internal Medicine" physician in Gulf Shores, Alabama. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Imc-eastern Shore Adult Medicine, Llc and his current practice location is
200 Office Park Dr, Gulf Shores, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 968-7379.
Dr Julian Jerrod Jesubatham is licensed to practice in Alabama (license number MD.36071) 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 1659682904.
Physician's Profile
Full Name | Dr Julian Jerrod Jesubatham |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 17 Years |
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Location | 200 Office Park Dr, Gulf Shores, Alabama |
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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. |
Medical Education and Training:
- Dr Julian Jerrod Jesubatham graduated from medical school in 2007
NPI Data:
- NPI Number: 1659682904
- Provider Enumeration Date: 07/01/2010
- Last Update Date: 11/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214122167
- Enrollment ID: I20180409001104
Medical Identifiers
Medical identifiers for Dr Julian Jerrod Jesubatham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659682904 | NPI | - | NPPES |
244212 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD.36071 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Imc-eastern Shore Adult Medicine, Llc | 3375718042 | 17 |
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 Julian Jerrod Jesubatham allows following entities to bill medicare on his behalf.
Entity Name | Imc-eastern Shore Adult Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912284852 PECOS PAC ID: 3375718042 Enrollment ID: O20111207000620 |
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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 Julian Jerrod Jesubatham 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 Julian Jerrod Jesubatham, MD 200 Office Park Dr, Gulf Shores, AL 36542-3432 Ph: (251) 968-7379 | Dr Julian Jerrod Jesubatham, MD 200 Office Park Dr, Gulf Shores, AL 36542-3432 Ph: (251) 968-7379 |
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