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Mary Lynn Epsten Chillemi

Pediatrics

Allopathic & Osteopathic Physicians

1504 Spring Hill Ave, Suite 1600, Mobile, AL 36604-3207

PECOS Enrollment

This provider is enrolled in PECOS as MARY LYNN CHILLEMI.

Based on the most recent information from CMS, provider Mary Lynn Epsten Chillemi 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 11:36 AM.

Profile Details

Provider ID
1982834081
Provider Type
Individual
Full Name
Chillemi, Mary Lynn Epsten
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/23/2009
Last Updated
9/28/2023

Contact Information

Practice Location

1504 Spring Hill Ave, Suite 1600, Mobile, AL 36604-3207

(251) 434-3915

(251) 434-3802

Mailing Location

1240 Jesse Jewell Pkwy SE Ste 300, Gainesville, GA 30501-3861

(770) 532-7202

(251) 434-3802

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 075040 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 003213684A	Description Medicaid	Issuer Unlisted Georgia
ID 06538356	Description Other	Issuer AMERIGROUP Georgia
ID 003213684B	Description Medicaid	Issuer Unlisted Georgia

Mary Lynn Epsten Chillemi

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

Nehls, Phillip E

Crews, Ladonna M.

Weidow, Nicole Catherine

Almannai, Mohammed Ali

Delgado, Myrtle

Usa Health Physician Billing Services Llc

Roca Garcia, Maria Renee

Turner, Curtis W

Mccall, Daniel T

Stewart, Penny A