Jason Qualley, MD, CCP,LP is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Destin, Florida. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Gulf Coast Pain Consultants Llc, Lee Health System Inc and his current practice location is
155 Crystal Beach Dr Ste 200, Destin, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 353-2055.
Jason Qualley is licensed to practice in Florida (license number ME165604) 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 1215432901.
Physician's Profile
| Full Name | Jason Qualley |
|---|
| Gender | Male |
|---|
| Speciality | Hospitalist |
|---|
| Experience | 8 Years |
|---|
| Location | 155 Crystal Beach Dr Ste 200, Destin, Florida |
|---|
| 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:
- Jason Qualley graduated from medical school in 2018
NPI Data:
- NPI Number: 1215432901
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 01/05/2026
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.
| Identifier | Type | State | Issuer |
| 1215432901 | NPI | - | NPPES |
| 121439800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | ME165604 (Florida) | Secondary |
| 242T00000X | Perfusionist | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | ME165604 (Florida) | Primary |
| 207R00000X | Internal Medicine | 613883 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Gulf Coast Pain Consultants Llc | 1658516570 | 31 |
| Lee Health System Inc | 9335672146 | 1153 |
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 Name | Lee Memorial Health System |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
|---|
| Entity Name | Gulf Coast Pain Consultants Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669712287 PECOS PAC ID: 1658516570 Enrollment ID: O20130326000183 |
|---|
| Entity Name | Lee Health System Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI 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 Address | Practice Location Address |
Jason Qualley, MD, CCP,LP 155 Crystal Beach Dr Ste 200, Destin, FL 32541-3588 Ph: (850) 353-2055 | Jason Qualley, MD, CCP,LP 155 Crystal Beach Dr Ste 200, Destin, FL 32541-3588 Ph: (850) 353-2055 |
Reviews and Comments