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Rosina Avila Connelly

Pediatrics

Allopathic & Osteopathic Physicians

1601 Center St, Ste 1n, Mobile, AL 36604-1512

PECOS Enrollment

This provider is enrolled in PECOS as ROSINA CONNELLY.

Based on the most recent information from CMS, provider Rosina Avila Connelly 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 today at 11:36 AM.

Profile Details

Provider ID
1245310689
Provider Type
Individual
Full Name
Connelly, Rosina Avila
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
10/17/2006
Last Updated
8/23/2022

Contact Information

Practice Location

1601 Center St, Ste 1n, Mobile, AL 36604-1512

(251) 410-5437

(251) 434-3802

Mailing Location

11511 Shadow Creek Pkwy, Pearland, TX 77584-7298

(713) 442-4997

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License M3197 Texas
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 28362 Alabama

Provider Identifiers

ID	Description	Issuer
ID 009913506	Description Medicaid	Issuer Unlisted Alabama
ID 51545921	Description Other	Issuer BCBS-1504 SPRINGHILL 1600 Alabama
ID 178991901	Description Medicaid	Issuer Unlisted Texas

Rosina Avila Connelly

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Merritt, Brandy Elizabeth

Jones, Don Edward

Strickland, Michael Christopher

Kirk, Jessica

Turner, Curtis W

Nehls, Phillip E

Gajendran, Induja

Stewart, Penny A

Delgado, Myrtle

Macdonell, Charlotte Steelman