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Julia Anne Timm Intili

Internal Medicine

Allopathic & Osteopathic Physicians

1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638

PECOS Enrollment

This provider is enrolled in PECOS as JULIA TIMM INTILI.

Based on the most recent information from CMS, provider Julia Anne Timm Intili 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1063972917
Provider Type
Individual
Full Name
Timm Intili, Julia Anne
Credential
DO

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/25/2019
Last Updated
10/12/2023

Contact Information

Practice Location

1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638

(210) 292-4277

Unlisted Fax

Mailing Location

1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638

(210) 292-5077

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0102206491 Virginia
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License 0102206491 Virginia

Julia Anne Timm Intili

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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