Dr Kourtnie Roxanne Mcquillen, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Weston, West Virginia. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice St Clair Medical Services Inc and her current practice location is
66 Hospital Plz Ste 103, Weston, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 269-3108.
Dr Kourtnie Roxanne Mcquillen is licensed to practice in West Virginia (license number 29149) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174058820.
Physician's Profile
| Full Name | Dr Kourtnie Roxanne Mcquillen |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 9 Years |
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| Location | 66 Hospital Plz Ste 103, Weston, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kourtnie Roxanne Mcquillen graduated from medical school in 2017
NPI Data:
- NPI Number: 1174058820
- Provider Enumeration Date: 05/01/2017
- Last Update Date: 06/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 2062818206
- Enrollment ID: I20240123002069
Medical Identifiers
Medical identifiers for Dr Kourtnie Roxanne Mcquillen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174058820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 29149 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Clair Medical Services Inc | 4183511553 | 196 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kourtnie Roxanne Mcquillen allows following entities to bill medicare on her behalf.
| Entity Name | St Clair Medical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467485565
PECOS PAC ID: 4183511553
Enrollment ID: O20040301000889 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kourtnie Roxanne Mcquillen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Kourtnie Roxanne Mcquillen, MD
66 Hospital Plz Ste 103,
Weston, WV 26452-8595
Ph: (304) 269-3108 | Dr Kourtnie Roxanne Mcquillen, MD
66 Hospital Plz Ste 103,
Weston, WV 26452-8595
Ph: (304) 269-3108 |
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