Brett Qualls, PT in Lake Havasu City, AZ - Medicare Physical Therapy Provider

Brett Qualls, PT is a medicare enrolled "Physical Therapist" provider in Lake Havasu City, Arizona. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Agave Physical Therapy Llc and his current practice location is 191 Swanson Ave, #102, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 855-7880.

Brett Qualls is licensed to practice in Arizona (license number 9575) 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 1215105630.

Contact Information

	Brett Qualls, PT
	191 Swanson Ave, #102, Lake Havasu City, AZ 86403-6699
	(928) 855-7880
	(928) 855-7881

Map and Direction

Healthcare Provider's Profile

Full Name	Brett Qualls
Gender	Male
Speciality	Physical Therapy
Experience	17 Years
Location	191 Swanson Ave, Lake Havasu City, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brett Qualls graduated from medical school in 2007

NPI Data:

NPI Number: 1215105630
Provider Enumeration Date: 02/19/2008
Last Update Date: 03/25/2017

Medicare PECOS Information:

PECOS PAC ID: 8325118532
Enrollment ID: I20120105000857

Medical Identifiers

Medical identifiers for Brett Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215105630	NPI	-	NPPES
34485	Other	CA	CA LICENSE
9575	Other	AZ	ARIZONA LICENSE
2594	Other	NV	NV LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	34485 (California)	Secondary
225100000X	Physical Therapist	2594 (Nevada)	Secondary
225100000X	Physical Therapist	9575 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agave Physical Therapy Llc	2163705799	2

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. Brett Qualls allows following entities to bill medicare on his behalf.

Provider Name	Agave Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720521040 PECOS PAC ID: 2163705799 Enrollment ID: O20170206002238

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. Brett 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
Brett Qualls, PT 191 Swanson Ave, #102, Lake Havasu City, AZ 86403-6699 Ph: (928) 855-7880	Brett Qualls, PT 191 Swanson Ave, #102, Lake Havasu City, AZ 86403-6699 Ph: (928) 855-7880

Reviews and Comments

Physical Therapist in Lake Havasu City, AZ

Ms. Elizabeth Rorie Page, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1951 Mesquite Ave, Suite # I, Lake Havasu City, AZ 86403 Phone: 928-680-1637
Anita Gail Martin, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25 Riviera Blvd, Lake Havasu City, AZ 86403 Phone: 928-505-5555 Fax: 928-505-2877
Mark B Lim, MD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403 Phone: 928-453-8500
Donna G Jones D/b/a Havasu Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2126 Mcculloch Blvd N, Ste 18, Lake Havasu City, AZ 86403 Phone: 928-854-7676 Fax: 928-854-7676
Dr. David Funk, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2781 Osborn Dr, Lake Havasu City, AZ 86406 Phone: 814-758-8838
Jonathan K Oneill, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 191 Swanson Ave #102, Lake Havasu City, AZ 86403 Phone: 928-855-7880
Walter Edwin Foxcroft Iii, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1791 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-855-4248 Fax: 928-855-7452

Brett Qualls, PT - Medicare Physical Therapist in Lake Havasu City, AZ