Jefferson Qualls, MD is a medicare enrolled "Emergency Medicine" physician in North Vernon, Indiana. His current practice location is
301 Henry St, North Vernon, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 695-1241.
Jefferson Qualls is licensed to practice in Indiana (license number 01037759A) 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 1992882419.
Physician's Profile
Full Name | Jefferson Qualls |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 301 Henry St, North Vernon, Indiana |
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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:
- Jefferson Qualls attended and graduated from in
NPI Data:
- NPI Number: 1992882419
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/10/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jefferson Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992882419 | NPI | - | NPPES |
100194060 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01037759 (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01037759A (Indiana) | Primary |
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. Jefferson 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 |
Jefferson Qualls, MD 4207 N 500 W, Bargersville, IN 46106-9251 Ph: (317) 695-1241 | Jefferson Qualls, MD 301 Henry St, North Vernon, IN 47265-1030 Ph: (317) 695-1241 |
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