Dr Marc Alan Hultquist, DO in Madison, AL

Dr Marc Alan Hultquist, DO is a medicare enrolled "Pediatrics" physician in Madison, Alabama. His current practice location is 12205 County Line Rd Ste C, Madison, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 258-8319.

Dr Marc Alan Hultquist is licensed to practice in Alabama (license number 3042) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063595593.

Contact Information

	Dr Marc Alan Hultquist, DO
	12205 County Line Rd Ste C, Madison, AL 35758-7720
	(256) 258-8319
	(256) 489-4070

Map and Direction

Physician's Profile

Full Name	Dr Marc Alan Hultquist
Gender	Male
Speciality	Pediatrics
Location	12205 County Line Rd Ste C, Madison, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063595593
Provider Enumeration Date: 10/20/2006
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3870031826
Enrollment ID: I20240822000220

Medical Identifiers

Medical identifiers for Dr Marc Alan Hultquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063595593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	3331 (Iowa)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	3042 (Alabama)	Secondary
208000000X	Pediatrics	3042 (Alabama)	Primary

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 Marc Alan Hultquist allows following entities to bill medicare on his behalf.

Entity Name	Reagan's Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558123190 PECOS PAC ID: 2466990411 Enrollment ID: O20240821002480

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 Marc Alan Hultquist 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 Marc Alan Hultquist, DO 12205 County Line Rd Ste C, Madison, AL 35758-7720 Ph: (256) 258-8319	Dr Marc Alan Hultquist, DO 12205 County Line Rd Ste C, Madison, AL 35758-7720 Ph: (256) 258-8319

Reviews and Comments

Pediatrics Doctors in Madison, AL

Dr. Jitendra A Jain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 102 Essex Ct, Ste A, Madison, AL 35758 Phone: 256-461-8442 Fax: 256-461-8447
Dr. Jeffrey D Brassart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Will Halsey Way, Madison, AL 35758 Phone: 256-461-7440 Fax: 256-461-7168
Dr. Patricia Gissendanner Moody, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 Hughes Rd, Suite 2500, Madison, AL 35758 Phone: 256-772-2037 Fax: 256-772-9523
Dr. Elizabeth Maguire Bryant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Hughes Road, Suite 2, Madison, AL 35758 Phone: 256-772-2037 Fax: 256-772-9523
Dr. Cynthia J Dill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 21 Hughes Rd, Suite 2, Madison, AL 35758 Phone: 256-772-2037 Fax: 256-772-9523
Dr. Kevin Scott Denny, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Will Halsey Way, Madison, AL 35758 Phone: 256-461-7440 Fax: 256-461-7168

Dr Marc Alan Hultquist, DO - Medicare Pediatrics in Madison, AL