Mrs Jaclyn S Qualter, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Youngsville, North Carolina. Her current practice location is
406 Us 1 Hwy Ste A, Youngsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(199) 679-1880.
Mrs Jaclyn S Qualter is licensed to practice in North Carolina (license number 205035) 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 1174543730.
Provider's Profile
Full Name | Mrs Jaclyn S Qualter |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 406 Us 1 Hwy Ste A, Youngsville, North Carolina |
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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:
- Mrs Jaclyn S Qualter attended and graduated from in
NPI Data:
- NPI Number: 1174543730
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Jaclyn S Qualter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174543730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 205035 (North Carolina) | Primary |
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. Mrs Jaclyn S Qualter 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 |
Mrs Jaclyn S Qualter, NP 406 Us 1 Hwy Ste A, Youngsville, NC 27596-7847 Ph: (919) 679-1880 | Mrs Jaclyn S Qualter, NP 406 Us 1 Hwy Ste A, Youngsville, NC 27596-7847 Ph: (199) 679-1880 |
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