| Julissa Quintanilla, PA-C | |
|
444 Sw Center St, Faison, NC 28341-8820 | |
| (910) 267-0421 | |
| (910) 378-1746 |
| Full Name | Julissa Quintanilla |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 444 Sw Center St, Faison, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386487544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-14568 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Medical Center Incorporated | 3173434479 | 96 |
| Entity Name | Goshen Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Julissa Quintanilla, PA-C Po Box 187, Faison, NC 28341-0187 Ph: (910) 267-2042 | Julissa Quintanilla, PA-C 444 Sw Center St, Faison, NC 28341-8820 Ph: (910) 267-0421 |
Lauren Eades, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 444 Sw Center St., Faison, NC 28341 Phone: 910-267-0421 Fax: 910-267-0441 |
Ms. Dara L. Garces, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Sw Center Street, Faison, NC 28341 Phone: 910-267-0421 Fax: 910-267-0441 |
Katheryn M Sican, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Sw Center St, Faison, NC 28341 Phone: 910-267-0421 Fax: 910-378-1746 |