Jennifer Mae Qualm, OTD in Williston, ND - Medicare Occupational Therapist Provider

Jennifer Mae Qualm, OTD is a medicare enrolled "Occupational Therapist" provider in Williston, North Dakota. Her current practice location is 1905 14th St W, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 651-6437.

Jennifer Mae Qualm is licensed to practice in North Dakota (license number 1956) 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 1649903667.

Contact Information

	Jennifer Mae Qualm, OTD
	1905 14th St W, Williston, ND 58801-6020
	(701) 651-6437
	(701) 516-8462

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Mae Qualm
Gender	Female
Speciality	Occupational Therapist
Location	1905 14th St W, Williston, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649903667
Provider Enumeration Date: 07/07/2022
Last Update Date: 09/02/2022

Medicare PECOS Information:

PECOS PAC ID: 0547641854
Enrollment ID: I20220718003612

Medical Identifiers

Medical identifiers for Jennifer Mae Qualm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649903667	NPI	-	NPPES
1956	Other	ND	NORTH DAKOTA OCCUPATIONAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	1956 (North Dakota)	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. Jennifer Mae Qualm allows following entities to bill medicare on her behalf.

Provider Name	Milestone Health Partners, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942881560 PECOS PAC ID: 8729483284 Enrollment ID: O20210820001489

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. Jennifer Mae Qualm 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
Jennifer Mae Qualm, OTD 1905 14th St W, Williston, ND 58801-6020 Ph: (701) 651-6437	Jennifer Mae Qualm, OTD 1905 14th St W, Williston, ND 58801-6020 Ph: (701) 651-6437

Reviews and Comments

Occupational Therapist in Williston, ND

Mr. Isaac Chandranath George, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-572-1848 Fax: 701-572-2476
Kindra Donvan, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 University Ave, Williston, ND 58801 Phone: 701-572-6757
Mrs. Summer Joy Van Rooyen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 2nd Ave W, Ste 50, Williston, ND 58801 Phone: 701-774-7430
Brenna Faith Tescher, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 3rd Ave W, Williston, ND 58801 Phone: 701-572-6766
Andrea Marie White, OYR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 11th St W, Williston, ND 58801 Phone: 602-789-1075
Alissa Reep, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 University Ave Ste 203, Williston, ND 58801 Phone: 701-580-8788 Fax: 701-609-5231
Monica Lynn Sem, MS. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-6757

Jennifer Mae Qualm, OTD - Medicare Occupational Therapist in Williston, ND