Kristi Qualls Price, MD is a medicare enrolled "Family Medicine" physician in Lake City, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Riverside Medical Clinic and her current practice location is
803 Highway 18, Lake City, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 561-3300.
Kristi Qualls Price is licensed to practice in Arkansas (license number E-3986) 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 1639136609.
Physician's Profile
| Full Name | Kristi Qualls Price |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 23 Years |
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| Location | 803 Highway 18, Lake City, Arkansas |
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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. |
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Medical Education and Training:
- Kristi Qualls Price attended and graduated from University Of Arkansas College Of Medicine in 2002
NPI Data:
- NPI Number: 1639136609
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 10/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204810773
- Enrollment ID: I20040614001504
Medical Identifiers
Medical identifiers for Kristi Qualls Price such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639136609 | NPI | - | NPPES |
| 154227001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | E-3986 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Riverside Medical Clinic | 5597944157 | 2 |
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. Kristi Qualls Price allows following entities to bill medicare on her behalf.
| Entity Name | T W Wagner Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720183031
PECOS PAC ID: 1153359096
Enrollment ID: O20050830000950 |
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| Entity Name | Riverside Medical Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811206923
PECOS PAC ID: 5597944157
Enrollment ID: O20110127001167 |
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| Entity Name | Access Medical Clinic Arkansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288 |
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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. Kristi Qualls Price 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 |
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Kristi Qualls Price, MD
Po Box 505,
Lake City, AR 72437-0505
Ph: (870) 237-1055 | Kristi Qualls Price, MD
803 Highway 18,
Lake City, AR 72437-9603
Ph: (870) 561-3300 |
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