Jacob Quinn, PA-C is a medicare enrolled "Physician Assistant" physician in Washington, Illinois. His current practice location is
104 Spring Haven Dr, Washington, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 648-2399.
Jacob Quinn is licensed to practice in Illinois (license number 085.00912) 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 1750998704.
Physician's Profile
Full Name | Jacob Quinn |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 104 Spring Haven Dr, Washington, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750998704
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355717737
- Enrollment ID: I20221027000080
Medical Identifiers
Medical identifiers for Jacob Quinn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750998704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083S0010X | Preventive Medicine - Sports Medicine | 096004052 (Illinois) | Secondary |
363A00000X | Physician Assistant | 085.00912 (Illinois) | Primary |
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. Jacob Quinn 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 |
Jacob Quinn, PA-C 104 Spring Haven Dr, Washington, IL 61571-9792 Ph: (309) 648-2399 | Jacob Quinn, PA-C 104 Spring Haven Dr, Washington, IL 61571-9792 Ph: (309) 648-2399 |
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