Dr Timothy Joseph Quillen, MD | |
394 Singleton Ridge Rd, Conway, SC 29526-9150 | |
(843) 347-8765 | |
(843) 347-3499 |
Full Name | Dr Timothy Joseph Quillen |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 39 Years |
Location | 394 Singleton Ridge Rd, Conway, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619922879 | NPI | - | NPPES |
774449 | Other | SC | WELLCARE |
80023042 | Other | SC | SELECT HEALTH |
P00360562 | Other | SC | RAILROAD MEDICARE |
890585W | Medicaid | NC | |
GP4522 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 14869 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Medical Center | Conway, SC | Hospital |
Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlantic Urology Clinics Llc | 0840296638 | 29 |
Auc Urologists Llc | 3375986953 | 22 |
Entity Name | Atlantic Urology Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447293790 PECOS PAC ID: 0840296638 Enrollment ID: O20061019000077 |
Entity Name | Auc Urologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780454017 PECOS PAC ID: 3375986953 Enrollment ID: O20240212000127 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Joseph Quillen, MD 2234 Colonial Blvd, Managed Care Dept, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Dr Timothy Joseph Quillen, MD 394 Singleton Ridge Rd, Conway, SC 29526-9150 Ph: (843) 347-8765 |
Dr. Roberto Fulvio Ferraro, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Park Dr, Conway, SC 29526 Phone: 843-347-8724 | |
Dr. Marshall Craig Sasser, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 394 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8765 Fax: 843-347-3499 | |
Dr. James Daniel Fogarty, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 394 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8765 Fax: 843-347-3499 | |
Dr. Joseph Cary Wood, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 394 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8765 Fax: 843-347-3499 | |
Pamela Michelle Gilmore, APRN Urology Medicare: Accepting Medicare Assignments Practice Location: 394 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8765 |