Jennifer  P  Jebeles    NP
Contract Details
Metro Infectious Disease Consultants
Facility name
Provider ID
P000000001
NPI
1174156467
Tax ID
363966745
Effective Date
8/27/2024
Last Updated
8/29/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
3794 Pepperell Parkway Suite D
Opelika, AL 36801
United States
Phone
877-448-3627 (Phone)
Billing Details
Address
901 McClintock Drive
Suite 202
Burr Ridge, IL 60527
Billing Phone
630-655-6748
Specialty Type
Infectious Diseases
Map
Address