Mr Khaled S Qaisieh, FNP - Medicare Nurse Practitioner in Broussard, LA

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Mr Khaled S Qaisieh, FNP is a medicare enrolled "Nurse Practitioner - Family" in Broussard, Louisiana. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Hospital And Clinics, Inc. and his current practice location is 1012 Petroleum Pkwy, Broussard, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 465-4600.

Mr Khaled S Qaisieh is licensed to practice in Louisiana (license number 204205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750842100.

Contact Information

Mr Khaled S Qaisieh, FNP
1012 Petroleum Pkwy,
Broussard, LA 70518-8020
(337) 465-4600
(337) 465-4604

Map and Direction




Provider's Profile

Full NameMr Khaled S Qaisieh
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location1012 Petroleum Pkwy, Broussard, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Khaled S Qaisieh graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1750842100
  • Provider Enumeration Date: 03/28/2019
  • Last Update Date: 03/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9436487246
  • Enrollment ID: I20190817000006

Medical Identifiers

Medical identifiers for Mr Khaled S Qaisieh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750842100NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 204205 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Hospital & ClinicsLafayette, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Hospital And Clinics, Inc.711316197769

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. Mr Khaled S Qaisieh allows following entities to bill medicare on his behalf.
Entity NameLafayette Health Ventures Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417986092
PECOS PAC ID: 9335043074
Enrollment ID: O20041105000263
Entity NameLourdes After Hours Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649297730
PECOS PAC ID: 5496704553
Enrollment ID: O20050114000648
Entity NameSunset Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093702367
PECOS PAC ID: 2062468994
Enrollment ID: O20050324000007
Entity NameHulin Urgent Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699049262
PECOS PAC ID: 6800051285
Enrollment ID: O20120710000537
Entity NameUniversity Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639518087
PECOS PAC ID: 7113161977
Enrollment ID: O20130917000335
Entity NamePriority Access Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356960884
PECOS PAC ID: 2264854942
Enrollment ID: O20200625002215

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. Mr Khaled S Qaisieh 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 AddressPractice Location Address
Mr Khaled S Qaisieh, FNP
1012 Petroleum Pkwy,
Broussard, LA 70518-8020

Ph: (337) 465-4600		Mr Khaled S Qaisieh, FNP
1012 Petroleum Pkwy,
Broussard, LA 70518-8020

Ph: (337) 465-4600

Reviews and Comments


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Mrs. Kendra Calais-kelly, PMHNP-BC
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Jessica M. Hanna, FNP
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Practice Location: 811 D&e Albertson Pkwy, Broussard, LA 70518
Phone: 337-470-3560    Fax: 337-837-2551

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.