Mr Michael D Qualley, AUD in Port Jefferson Station, NY

Mr Michael D Qualley, AUD is a medicare enrolled "Audiologist" provider in Port Jefferson Station, New York. His current practice location is 4747-8 Nesconset Hwy, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (631) 331-6455.

Mr Michael D Qualley is licensed to practice in New York (license number 001010) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760505085.

Contact Information

	Mr Michael D Qualley, AUD
	4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776-2878
	(631) 331-6455
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael D Qualley
Gender	Male
Speciality	Audiologist
Location	4747-8 Nesconset Hwy, Port Jefferson Station, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760505085
Provider Enumeration Date: 04/10/2007
Last Update Date: 06/11/2015

Medicare PECOS Information:

PECOS PAC ID: 5597814491
Enrollment ID: I20090526000325

Medical Identifiers

Medical identifiers for Mr Michael D Qualley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760505085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	001010 (New York)	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. Mr Michael D Qualley 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
Mr Michael D Qualley, AUD 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776-2878 Ph: (631) 331-6455	Mr Michael D Qualley, AUD 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776-2878 Ph: (631) 331-6455

Reviews and Comments

Audiologist in Port Jefferson Station, NY

Dr. John Alan Martinetti, AU.D. CCC Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5225 Nesconset Hwy, Suite 10, Port Jefferson Station, NY 11776 Phone: 631-331-1888 Fax: 631-331-4724
Dr. Jennifer L Costa, AUD. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1500 Ny-112, Building 4, 2nd Floor, Port Jefferson Station, NY 11776 Phone: 631-928-0188
Dr. Nicole Marie Holden, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Route 112 Fl 2, Port Jefferson Station, NY 11776 Phone: 631-928-0188 Fax: 631-928-0185
Mrs. Diane Marsh Davis, MA CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-6455
East End Hearing And Speech Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-6455
Sarah Lynn Savino, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Building 4 Second Fl, Port Jefferson Station, NY 11776 Phone: 631-928-0188

Mr Michael D Qualley, AUD - Medicare Audiologist in Port Jefferson Station, NY