Jacob Quinn, PA-C is a medicare enrolled "Physician Assistant" physician in Washington, Illinois. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Soderstrom Dermatology Center S C. and his current practice location is
104 Spring Haven Dr, Washington, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 648-2399.
Jacob Quinn is licensed to practice in Illinois (license number 085.00912) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750998704.
Physician's Profile
| Full Name | Jacob Quinn |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 104 Spring Haven Dr, Washington, Illinois |
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| Accepts Medicare Assignments | Yes. He 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:
- Jacob Quinn graduated from medical school in 2022
NPI Data:
- NPI Number: 1750998704
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355717737
- Enrollment ID: I20221027000080
Medical Identifiers
Medical identifiers for Jacob Quinn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750998704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083S0010X | Preventive Medicine - Sports Medicine | 096004052 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085.00912 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Soderstrom Dermatology Center S C. | 2062432651 | 33 |
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. Jacob Quinn 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 |
|---|
Jacob Quinn, PA-C
104 Spring Haven Dr,
Washington, IL 61571-9792
Ph: (309) 648-2399 | Jacob Quinn, PA-C
104 Spring Haven Dr,
Washington, IL 61571-9792
Ph: (309) 648-2399 |
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