Jacquelyn A Quin, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in West Roxbury, Massachusetts. Her current practice location is
1400 Vfw Pkwy, West Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(857) 203-6202.
Jacquelyn A Quin is licensed to practice in Massachusetts (license number 207205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003897703.
Physician's Profile
| Full Name | Jacquelyn A Quin |
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| Gender | Female |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1400 Vfw Pkwy, West Roxbury, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003897703
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 07/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 2163404211
- Enrollment ID: I20160603001550
Medical Identifiers
Medical identifiers for Jacquelyn A Quin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003897703 | NPI | - | NPPES |
| 036105475 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036105475 (Illinois) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G78462 (California) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | K9154 (Texas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 207205 (Massachusetts) | 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. Jacquelyn A Quin 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 |
|---|
Jacquelyn A Quin, MD
1400 Vfw Pkwy, Mail Code 112,
West Roxbury, MA 02132-4927
Ph: (857) 203-6202 | Jacquelyn A Quin, MD
1400 Vfw Pkwy,
West Roxbury, MA 02132
Ph: (857) 203-6202 |
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