Mrs Amy L Illescas, MD | |
10 Meadowview Dr, Hoover, AL 35242-7700 | |
(205) 547-2323 | |
(205) 995-0955 |
Full Name | Mrs Amy L Illescas |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 10 Meadowview Dr, Hoover, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346269123 | NPI | - | NPPES |
515-94994 | Other | AL | BCBS# |
051540201 | Other | AL | ALABAMA MEDICARE PTAN# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23912 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grandview Medical Center | Birmingham, AL | Hospital |
Entity Name | Southern Care Internal Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881972073 PECOS PAC ID: 2668642794 Enrollment ID: O20110829000671 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amy L Illescas, MD 10 Meadowview Dr, Hoover, AL 35242-7700 Ph: (205) 547-2323 | Mrs Amy L Illescas, MD 10 Meadowview Dr, Hoover, AL 35242-7700 Ph: (205) 547-2323 |
Mohannad Fadl Azzam, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2052 Blackridge Rd, Hoover, AL 35244 Phone: 205-934-4794 | |
Malia Bree Downing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2279 Valleydale Rd Ste 100, Hoover, AL 35244 Phone: 205-214-7546 Fax: 205-449-2495 | |
Maria Rosario Abano Cumagun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1870 Chace Dr Ste 160, Hoover, AL 35244 Phone: 205-733-7110 Fax: 205-733-7859 | |
Raj Vachhani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Emery Dr W, Hoover, AL 35244 Phone: 205-989-7254 | |
Dr. James Pham Ho, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1744 Napier Dr, Hoover, AL 35226 Phone: 205-261-1075 | |
Andrea M Pincham Benton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Cahaba Beach Rd, Hoover, AL 35242 Phone: 205-402-8902 Fax: 205-402-8902 |