James R Qualls, DO - Medicare Family Practice in Athens, TX

James R Qualls, DO is a medicare enrolled "Family Medicine" physician in Athens, Texas. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Christus Trinity Clinic and his current practice location is 1505 State Highway 19 S, Athens, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 675-1725.

James R Qualls is licensed to practice in Texas (license number P0656) 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 1407141120.

Contact Information

James R Qualls, DO
1505 State Highway 19 S,
Athens, TX 75751-8950
(903) 675-1725
Not Available

Map and Direction




Physician's Profile

Full NameJames R Qualls
GenderMale
SpecialityFamily Practice
Experience14 Years
Location1505 State Highway 19 S, Athens, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James R Qualls attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2010
  NPI Data:
  • NPI Number: 1407141120
  • Provider Enumeration Date: 06/10/2011
  • Last Update Date: 05/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789829573
  • Enrollment ID: I20130327000348

Medical Identifiers

Medical identifiers for James R Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407141120NPI-NPPES
1L8412OtherTXMEDICARE
P02604877OtherTXRR MCR
324380002MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine P0656 (Texas)Primary
207Q00000XFamily Medicine BP10038570 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Traditions Health CareTyler, TXHome health agency
Ut Health East Texas Home Health ServicesAthens, TXHome health agency
Cedar Lake Home Health And HospiceMalakoff, TXHome health agency
Heart To Heart Hospice Of Tyler LtdTyler, TXHospice
Christus Mother Frances HospitalTyler, TXHospital
Ut Health East Texas Athens HospitalAthens, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christus Trinity Clinic30724267411227

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. James R Qualls allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091

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. James R 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 AddressPractice Location Address
James R Qualls, DO
115 Medical Cir, Suite 100,
Athens, TX 75751-9124

Ph: (903) 675-5744
James R Qualls, DO
1505 State Highway 19 S,
Athens, TX 75751-8950

Ph: (903) 675-1725

Reviews and Comments


Family Medicine Doctors in Athens, TX

Dr. Ronald W Heine, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 117 Medical Circle, Athens, TX 75751
Phone: 903-676-3200    Fax: 903-676-3277
Christian Joel Zuniga, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 117 Medical Cir, Athens, TX 75751
Phone: 903-676-3200    Fax: 903-676-3277
Dr. Marcus G Abadie, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 117 Medical Circle, Athens, TX 75751
Phone: 903-676-3200    Fax: 903-676-3277
Dr. Steven M Koerth, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 117 Medical Circle, Athens, TX 75751
Phone: 903-676-3200    Fax: 903-676-3277
Dr. Terri Lynn Eckert, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1505 State Highway 19 S, Athens, TX 75751
Phone: 903-675-1725    
Dr. Jorge Gamez Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 S Palestine St, Athens, TX 75751
Phone: 903-676-1000    
Joshua N Splinter, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 117 Medical Cir, Athens, TX 75751
Phone: 903-676-3200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.