| Dr Jennifer Quillin, MD | |
|
13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750-8642 | |
| (256) 828-2094 | |
| (256) 828-0526 |
| Full Name | Dr Jennifer Quillin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 13596 Hwy 231 431 N, Hazel Green, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710965306 | NPI | - | NPPES |
| 009924115 | Medicaid | AL | |
| 51516137 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 25223 (Alabama) | Primary |
| Entity Name | Hh Physician Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144860123 PECOS PAC ID: 4082042940 Enrollment ID: O20200309000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Quillin, MD 13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750-8642 Ph: (256) 828-2094 | Dr Jennifer Quillin, MD 13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750-8642 Ph: (256) 828-2094 |
Porsche L. Roberson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13596 Highway 231 431 N Ste 2, Hazel Green, AL 35750 Phone: 256-428-4950 Fax: 256-828-0526 | |
Steffane Miles Battle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13596 Highway 231 431 N Ste 2, Hazel Green, AL 35750 Phone: 256-428-4950 | |
Dr. Peter Kinnebrew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750 Phone: 256-828-2094 Fax: 256-828-0526 |