Madeline Qualley, in Fargo, ND - Medicare Dietitian, Registered Provider

Madeline Qualley, is a medicare enrolled "Dietitian, Registered" provider in Fargo, North Dakota. Her current practice location is 2400 32nd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Madeline Qualley is licensed to practice in North Dakota (license number 1309) 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 1518620145.

Contact Information

	Madeline Qualley,
	2400 32nd Ave S, Fargo, ND 58103-5800
	(701) 234-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madeline Qualley
Gender	Female
Speciality	Dietitian, Registered
Location	2400 32nd Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518620145
Provider Enumeration Date: 10/20/2021
Last Update Date: 05/23/2022

Medicare PECOS Information:

PECOS PAC ID: 3971981630
Enrollment ID: I20220608001885

Medical Identifiers

Medical identifiers for Madeline Qualley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518620145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1309 (North Dakota)	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. Madeline Qualley allows following entities to bill medicare on her behalf.

Provider Name	Sanford Medical Center Fargo
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Madeline Qualley 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
Madeline Qualley, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Madeline Qualley, 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-2000

Reviews and Comments

Dietitian, Registered in Fargo, ND

Brad Kittelson, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4474
Alexis Ann Allen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1749 38th St S, Fargo, ND 58103 Phone: 701-417-6536
Keiley Shae Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2970 Brandt Dr S Apt 214, Fargo, ND 58104 Phone: 701-212-6207
Madeline Henke, RDN, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-301-1016
Amy E Hieb, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Sarah M Tee, MPH RD LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1630 1st Ave N Ste B, Fargo, ND 58102 Phone: 630-439-4775
Alycia Evenocheck, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000

Madeline Qualley, - Medicare Dietitian in Fargo, ND