Courtnee Anne Qualls, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Collins, Colorado. Her current practice location is
4856 Innovation Dr, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 494-4200.
Courtnee Anne Qualls is licensed to practice in Colorado (license number CSW.09930962) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942922349.
Healthcare Provider's Profile
Full Name | Courtnee Anne Qualls |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4856 Innovation Dr, Fort Collins, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942922349
- Provider Enumeration Date: 09/13/2022
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234571084
- Enrollment ID: I20240523003942
Medical Identifiers
Medical identifiers for Courtnee Anne Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942922349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0002452 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09930962 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Courtnee Anne Qualls allows following entities to bill medicare on her behalf.
Entity Name | Summitstone Health Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821552738 PECOS PAC ID: 4284527144 Enrollment ID: O20040204000768 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtnee Anne Qualls is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Courtnee Anne Qualls, MSW 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 | Courtnee Anne Qualls, MSW 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 |
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