Revadean J Quastad, MSN, NP-C, APNP in Fairmont, MN

Revadean J Quastad, MSN, NP-C, APNP is a medicare enrolled "Nurse Practitioner - Family" in Fairmont, Minnesota. Her current practice location is 717 S State St Ste 900, Fairmont, Minnesota. You can reach out to her office (for appointments etc.) via phone at (072) 384-9495.

Revadean J Quastad is licensed to practice in Minnesota (license number 6831) 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 1538437728.

Contact Information

	Revadean J Quastad, MSN, NP-C, APNP
	717 S State St Ste 900, Fairmont, MN 56031
	(072) 384-9495
	Not Available

Map and Direction

Provider's Profile

Full Name	Revadean J Quastad
Gender	Female
Speciality	Nurse Practitioner - Family
Location	717 S State St Ste 900, Fairmont, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538437728
Provider Enumeration Date: 12/02/2011
Last Update Date: 09/11/2019

Medicare PECOS Information:

PECOS PAC ID: 1254662919
Enrollment ID: I20191010000214

Medical Identifiers

Medical identifiers for Revadean J Quastad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538437728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4555-33 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	6831 (Minnesota)	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. Revadean J Quastad allows following entities to bill medicare on her behalf.

Entity Name	Fairmont Orthopedics & Sports Medicine Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134173644 PECOS PAC ID: 3173436854 Enrollment ID: O20031110000058

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. Revadean J Quastad 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
Revadean J Quastad, MSN, NP-C, APNP 717 S State St Ste 900, Fairmont, MN 56031-4478 Ph: (072) 384-9495	Revadean J Quastad, MSN, NP-C, APNP 717 S State St Ste 900, Fairmont, MN 56031 Ph: (072) 384-9495

Reviews and Comments

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Revadean J Quastad, MSN, NP-C, APNP - Medicare Nurse Practitioner in Fairmont, MN