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Caroline Jackson Hilliard

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

619 19th St S, Birmingham, AL 35249-1900

PECOS Enrollment

This provider is enrolled in PECOS as CAROLINE HILLIARD.

Based on the most recent information from CMS, provider Caroline Jackson Hilliard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1013541465
Provider Type
Individual
Full Name
Hilliard, Caroline Jackson
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
2/25/2020
Last Updated
2/25/2020

Contact Information

Practice Location

619 19th St S, Birmingham, AL 35249-1900

(205) 934-2240

Unlisted Fax

Mailing Location

402 Lakeshore Rdg, Birmingham, AL 35211-6962

(205) 643-2111

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1584 Alabama

Caroline Jackson Hilliard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Chasteen, Mason

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