Jennifer    Jebeles    NP
Contract Details
Metro Infectious Disease Consultants
Facility name
Provider ID
P000000001
NPI
1174156467
Tax ID
363966745
Effective Date
1/15/2024
Last Updated
1/17/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
4704 Cahaba River Road Suite 101-D
Birmingham, AL 35243
United States
Phone
205-739-2266 (Phone)
Billing Details
Address
901 McClintock Drive
Suite 202
Burr Ridge, IL 60527
Billing Phone
630-655-6770
Specialty Type
Adult Medicine
Map
Address