Jefferson Qualls, MD - Medicare Emergency Medicine in North Vernon, IN

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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 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 1992882419.

Contact Information

Jefferson Qualls, MD
301 Henry St,
North Vernon, IN 47265-1030
(317) 695-1241
Not Available

Map and Direction




Physician's Profile

Full NameJefferson Qualls
GenderMale
SpecialityEmergency Medicine
Location301 Henry St, North Vernon, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992882419
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 03/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901863083
  • Enrollment ID: I20041210000582

Medical Identifiers

Medical identifiers for Jefferson Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992882419NPI-NPPES
100194060MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01037759 (Indiana)Secondary
207P00000XEmergency Medicine 01037759A (Indiana)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. Jefferson Qualls allows following entities to bill medicare on his behalf.
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285103671
PECOS PAC ID: 6608056171
Enrollment ID: O20190214000611

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 AddressPractice 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

Reviews and Comments


Emergency Medicine Doctors in North Vernon, IN

Vasundhara Voleti, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Henry St, North Vernon, IN 47265
Phone: 812-352-4200    Fax: 812-352-4201
Jeffrey A. Justus, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 301 Henry St, North Vernon, IN 47265
Phone: 812-352-4200    

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.