Mrs Benita K Qualls, PA in Lebanon, TN - Medicare Physician Assistant

Mrs Benita K Qualls, PA is a medicare enrolled "Physician Assistant" in Lebanon, Tennessee. She graduated from nursing school in 1986 and has 38 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Family Medical Pc and her current practice location is 1407 W Baddour Pkwy, Lebanon, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 444-6203.

Mrs Benita K Qualls is licensed to practice in Tennessee (license number 185) 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 1629245634.

Contact Information

	Mrs Benita K Qualls, PA
	1407 W Baddour Pkwy, Lebanon, TN 37087-2513
	(615) 444-6203
	(615) 444-6252

Map and Direction

Provider's Profile

Full Name	Mrs Benita K Qualls
Gender	Female
Speciality	Physician Assistant
Experience	38 Years
Location	1407 W Baddour Pkwy, Lebanon, Tennessee
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 Benita K Qualls graduated from nursing school in 1986

NPI Data:

NPI Number: 1629245634
Provider Enumeration Date: 05/09/2008
Last Update Date: 08/09/2011

Medicare PECOS Information:

PECOS PAC ID: 1355529454
Enrollment ID: I20110620000323

Medical Identifiers

Medical identifiers for Mrs Benita K Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629245634	NPI	-	NPPES
3323092	Other	TN	UHC
1523861	Medicaid	TN
185	Other	TN	PHYSICIAN ASSISTANT LICENSE
4298144	Other	TN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	185 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vanderbilt Wilson County Hospital	Lebanon, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Medical Pc	4486544970	11

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 Benita K 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
Mrs Benita K Qualls, PA 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 Ph: (615) 444-6203	Mrs Benita K Qualls, PA 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 Ph: (615) 444-6203

Reviews and Comments

Physician Assistant Nurses in Lebanon, TN

Barbara Elayne Wolff, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771 Fax: 615-449-5740
Mrs. Kristina Moore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Physicians Way, Suite 110, Lebanon, TN 37090 Phone: 615-547-6700 Fax: 615-547-6707
Mrs. Keely Elaine Metzger, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1430 W Baddour Pkwy, Suite 100, Lebanon, TN 37087 Phone: 615-453-3645 Fax: 615-453-2675
Mrs. Keri Lynn Raymond, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1423 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-257-0900 Fax: 615-443-1444
Leticia Garcia Haff, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1418 W Main St, Lebanon, TN 37087 Phone: 615-425-4200
Mr. Joseph A. Trombley, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 115 Winwood Dr, Suite 105, Lebanon, TN 37087 Phone: 615-444-4126 Fax: 855-785-2890
Ms. Catherine Marie Mead, FNP/PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1405 W Baddour Pkwy, Suite 101, Lebanon, TN 37087 Phone: 615-449-5771 Fax: 615-449-5740

Mrs Benita K Qualls, PA - Medicare Physician Assistant in Lebanon, TN