| Jesse Edmund Hollen, | |
|
6701 Airport Blvd Ste D146, Mobile, AL 36608-6701 | |
| (251) 287-2176 | |
| Not Available |
| Full Name | Jesse Edmund Hollen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 6701 Airport Blvd Ste D146, Mobile, 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 |
|---|---|---|---|
| 1588237036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Thomas Hospital | Fairhope, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imc-cardio-thoracic And Vascular Surgical Associates Llc | 4981936796 | 23 |
| Shawn Clark, Md, Pc | 0143459776 | 5 |
| Entity Name | Shawn Clark, MD, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972931533 PECOS PAC ID: 0143459776 Enrollment ID: O20140131000697 |
| Entity Name | Imc-cardio-thoracic and Vascular Surgical Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841848553 PECOS PAC ID: 4981936796 Enrollment ID: O20191029000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Edmund Hollen, 1823 Spring Brook Ct, Mobile, AL 36609-2587 Ph: (423) 723-3192 | Jesse Edmund Hollen, 6701 Airport Blvd Ste D146, Mobile, AL 36608-6701 Ph: (251) 287-2176 |
Robin Shumaker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Spring Hill Ave, Mobile, AL 36607 Phone: 251-300-2240 Fax: 251-300-2249 |
Rachel Wilson Beebe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 575 Stanton Rd, Mobile, AL 36617 Phone: 251-471-7207 Fax: 251-471-7468 |
Rachel Fillingim, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4310 Old Shell Rd Ste D, Mobile, AL 36608 Phone: 251-343-9100 |
Mrs. Jessica S Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 580 Providence Park Dr E Fl 2, Mobile, AL 36695 Phone: 251-631-3570 Fax: 251-631-3572 |
Nell Milling, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 S University Blvd, Unit 6000, Mobile, AL 36608 Phone: 251-660-5555 Fax: 251-660-5559 |
Mrs. Kerrington Pugh, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 181 Hillcrest Rd, Mobile, AL 36608 Phone: 251-341-3800 Fax: 251-660-6333 |
Latrinia Hunt Franklin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Memorial Hospital Dr Ste 2a, Mobile, AL 36608 Phone: 251-343-9090 Fax: 251-380-1015 |