| Dr Julian Jerrod Jesubatham, MD | |
|
200 Office Park Dr, Gulf Shores, AL 36542-3432 | |
| (251) 968-7379 | |
| (251) 968-5960 |
| Full Name | Dr Julian Jerrod Jesubatham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 200 Office Park Dr, Gulf Shores, Alabama |
| 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 |
|---|---|---|---|
| 1659682904 | NPI | - | NPPES |
| 244212 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.36071 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Baldwin Regional Medical Center | Foley, AL | Hospital |
| Thomas Hospital | Fairhope, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imc-eastern Shore Adult Medicine, Llc | 3375718042 | 19 |
| Entity Name | Imc-eastern Shore Adult Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912284852 PECOS PAC ID: 3375718042 Enrollment ID: O20111207000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julian Jerrod Jesubatham, MD 200 Office Park Dr, Gulf Shores, AL 36542-3432 Ph: (251) 968-7379 | Dr Julian Jerrod Jesubatham, MD 200 Office Park Dr, Gulf Shores, AL 36542-3432 Ph: (251) 968-7379 |
Dr. Lee Enrico Eslava, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3620 Gulf Shores Pkwy, Suite 230, Gulf Shores, AL 36542 Phone: 251-967-4000 Fax: 251-967-2398 | |
John N. Mcatee, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 Office Park Dr, Gulf Shores, AL 36542 Phone: 251-968-5864 Fax: 251-968-5865 |