Jason Qualley, MD, CCP,LP - Medicare Pain Medicine in Crestview, FL

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Jason Qualley, MD, CCP,LP is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Crestview, Florida. His current practice location is 182 E Redstone Ave Ste A, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at (855) 527-7246.

Jason Qualley is licensed to practice in Florida (license number ME165604) 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 1215432901.

Contact Information

Jason Qualley, MD, CCP,LP
182 E Redstone Ave Ste A,
Crestview, FL 32539-5371
(855) 527-7246
(833) 905-2461

Map and Direction




Physician's Profile

Full NameJason Qualley
GenderMale
SpecialityPain Medicine - Interventional Pain Medicine
Location182 E Redstone Ave Ste A, Crestview, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215432901
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 11/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749611481
  • Enrollment ID: I20240304000014

Medical Identifiers

Medical identifiers for Jason Qualley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215432901NPI-NPPES
121439800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 613883 (Texas)Secondary
208M00000XHospitalist ME165604 (Florida)Secondary
242T00000XPerfusionist (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine ME165604 (Florida)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. Jason Qualley allows following entities to bill medicare on his behalf.
Entity NameLee Memorial Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992873319
PECOS PAC ID: 8729996608
Enrollment ID: O20031118000604
Entity NameGulf Coast Pain Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669712287
PECOS PAC ID: 1658516570
Enrollment ID: O20130326000183
Entity NameLee Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942058557
PECOS PAC ID: 9335672146
Enrollment ID: O20241114001576

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. Jason 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 AddressPractice Location Address
Jason Qualley, MD, CCP,LP
201 Defense Hwy Ste 205,
Annapolis, MD 21401-7096

Ph: (855) 527-7246		Jason Qualley, MD, CCP,LP
182 E Redstone Ave Ste A,
Crestview, FL 32539-5371

Ph: (855) 527-7246

Reviews and Comments


Pain Medicine Doctors in Crestview, FL

Brittney Smith, FNP
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 302 E James Lee Blvd, Crestview, FL 32539
Phone: 850-682-1002    
Donald Dyrone Chipman Jr., MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 E Redstone Ave Ste A, Crestview, FL 32539
Phone: 504-752-6688    Fax: 850-475-2669
David Allen Norfleet, DO
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 150 E Redstone Ave, Suite A, Crestview, FL 32539
Phone: 850-689-8004    Fax: 850-689-8068

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.