Kaitlin W Qualls, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Dyer, Indiana. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Radiation Oncology. She is a member of the group practice Mayo Clinic and her current practice location is
1001 Calumet Ave, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 924-8178.
Kaitlin W Qualls is licensed to practice in Indiana (license number 01094101A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366904989.
Physician's Profile
Full Name | Kaitlin W Qualls |
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Gender | Female |
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Speciality | Radiation Oncology |
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Experience | 6 Years |
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Location | 1001 Calumet Ave, Dyer, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kaitlin W Qualls attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2019
NPI Data:
- NPI Number: 1366904989
- Provider Enumeration Date: 04/02/2019
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971913229
- Enrollment ID: I20201028000733
Medical Identifiers
Medical identifiers for Kaitlin W Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366904989 | NPI | - | NPPES |
300092275 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 68299 (Minnesota) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 01094101A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mayo Clinic | 6507778255 | 4266 |
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. Kaitlin W Qualls allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
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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. Kaitlin W 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 |
Kaitlin W Qualls, MD 1001 Calumet Ave, Dyer, IN 46311-1596 Ph: (219) 924-8178 | Kaitlin W Qualls, MD 1001 Calumet Ave, Dyer, IN 46311-1596 Ph: (219) 924-8178 |
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