| Dr Jordan Quilico, DO | |
|
295 Maple St Ste 202, Tawas City, MI 48763-9352 | |
| (989) 362-6108 | |
| (989) 362-0161 |
| Full Name | Dr Jordan Quilico |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 295 Maple St Ste 202, Tawas City, Michigan |
| 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 |
|---|---|---|---|
| 1942597547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101019048 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Tawas city, MI | Home health agency |
| Heartland Home Health Care | West branch, MI | Home health agency |
| Tawas St Joseph Hospital | Tawas city, MI | Hospital |
| Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
| Ascension St Mary's Hospital | Saginaw, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Tawas | 9638070766 | 30 |
| Entity Name | Ascension St Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194713461 PECOS PAC ID: 9638070766 Enrollment ID: O20040202000682 |
| Entity Name | Schoolcraft Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700805157 PECOS PAC ID: 4082525118 Enrollment ID: O20040303000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Quilico, DO Po Box 779, Tawas City, MI 48764-0779 Ph: (989) 362-6108 | Dr Jordan Quilico, DO 295 Maple St Ste 202, Tawas City, MI 48763-9352 Ph: (989) 362-6108 |
Joseph J Vanderveen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Maple St Ste 202, Tawas City, MI 48763 Phone: 989-362-6108 Fax: 989-362-0161 | |
Kenneth A Jordan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 295 Maple St Ste 202, Tawas City, MI 48763 Phone: 989-362-6108 Fax: 989-362-0161 | |
Dr. Steven Dowdy, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Maple St, Suite 203, Tawas City, MI 48763 Phone: 989-362-6108 Fax: 989-362-0161 | |
Robert L Donnell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-9433 Fax: 989-362-9454 |