| Dr Jack B Quigley, MD | |
|
1020 N San Francisco St, # 200, Flagstaff, AZ 86001-3281 | |
| (928) 774-2300 | |
| (928) 214-2150 |
| Full Name | Dr Jack B Quigley |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 43 Years |
| Location | 1020 N San Francisco St, Flagstaff, Arizona |
| 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 |
|---|---|---|---|
| 1861495137 | NPI | - | NPPES |
| 2004440 | Other | AZ | CIGNA |
| AZ0355110 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 054768 | Medicaid | AZ | |
| 18032746 | Other | AZ | STATE COMP AZ |
| 20243 | Other | AZ | AZ LICENSE |
| P054768 | Medicaid | AZ | |
| 8607474153000 | Other | AZ | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 20243 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flagstaff Medical Center | Flagstaff, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plastic Surgeons Of Northern Arizona P L L C | 8224922182 | 6 |
| Entity Name | Plastic Surgeons Of Northern Arizona, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871531418 PECOS PAC ID: 8224922182 Enrollment ID: O20040211000614 |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack B Quigley, MD 1020 N San Francisco St, # 200, Flagstaff, AZ 86001-3281 Ph: (928) 774-2300 | Dr Jack B Quigley, MD 1020 N San Francisco St, # 200, Flagstaff, AZ 86001-3281 Ph: (928) 774-2300 |
Andrzej Jozef Burkat, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 N San Francisco St Ste 200, Flagstaff, AZ 86001 Phone: 928-774-2300 Fax: 928-214-2136 | |
Dr. Stephen F Lex, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 N San Francisco St, # 200, Flagstaff, AZ 86001 Phone: 928-774-2300 Fax: 928-214-2150 |