Kelley Qualters, in South Portland, ME - Medicare Nurse Practitioner

Kelley Qualters, is a medicare enrolled "Nurse Practitioner - Adult Health" in South Portland, Maine. Her current practice location is 21 Grand St, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (781) 893-6014.

Kelley Qualters is licensed to practice in New York (license number 309069) 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 1124761671.

Contact Information

	Kelley Qualters,
	21 Grand St, South Portland, ME 04106-2217
	(781) 893-6014
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelley Qualters
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	21 Grand St, South Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124761671
Provider Enumeration Date: 04/13/2022
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 6901274091
Enrollment ID: I20221121002598

Medical Identifiers

Medical identifiers for Kelley Qualters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124761671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	309069 (New York)	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. Kelley Qualters allows following entities to bill medicare on her behalf.

Entity Name	Memorial Medical Consultation Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053382523 PECOS PAC ID: 6406755081 Enrollment ID: O20040102000372

Entity Name	Memorial Neurology Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538130190 PECOS PAC ID: 4688563000 Enrollment ID: O20040313000171

Entity Name	Msk Harrison
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174923593 PECOS PAC ID: 1052634045 Enrollment ID: O20141224000110

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. Kelley Qualters 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
Kelley Qualters, 21 Grand St, South Portland, ME 04106-2217 Ph: (781) 893-6014	Kelley Qualters, 21 Grand St, South Portland, ME 04106-2217 Ph: (781) 893-6014

Reviews and Comments

Nurse Practitioner Nurses in South Portland, ME

Mr. Michael Urban Trueworthy, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Main St, Ste 213, South Portland, ME 04106 Phone: 207-835-6098 Fax: 207-835-6097
Mary P Delois, RN,MSN,F.N.P.-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-761-4700 Fax: 207-761-4744
Pamela G. Argereow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Road, West, Suite 100, South Portland, ME 04106 Phone: 207-523-3904 Fax: 207-523-8588
Meredith L Curtis, AG PCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Western Ave Ste 2, South Portland, ME 04106 Phone: 207-661-0200
Megan Bickford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 265 Western Ave, South Portland, ME 04106 Phone: 207-661-0200
Ms. Melissa Nye Libby, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Brickhill Ave, Ste 304, South Portland, ME 04106 Phone: 207-761-4700 Fax: 207-467-8910
Mr. Duncan T Hopkins Jr., MS, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Western Ave, Suite B2, South Portland, ME 04106 Phone: 207-553-9071 Fax: 207-553-9074

Kelley Qualters, - Medicare Nurse Practitioner in South Portland, ME