Rachel Marie Qualley, MD is a medicare enrolled "Dermatology" physician in Wildwood, Missouri. She went to Southern Illinois University School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Forefront Dermatology Sc and her current practice location is
16516 Manchester Rd, Wildwood, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 458-8400.
Rachel Marie Qualley is licensed to practice in Missouri (license number 2019032056) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518078567.
Physician's Profile
| Full Name | Rachel Marie Qualley |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 29 Years |
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| Location | 16516 Manchester Rd, Wildwood, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Rachel Marie Qualley attended and graduated from Southern Illinois University School Of Medicine in 1997
NPI Data:
- NPI Number: 1518078567
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 04/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931161486
- Enrollment ID: I20041028000024
Medical Identifiers
Medical identifiers for Rachel Marie Qualley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518078567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 2019032056 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Forefront Dermatology Sc | 3779471701 | 568 |
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. Rachel Marie Qualley allows following entities to bill medicare on her behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891179040 PECOS PAC ID: 3779471701 Enrollment ID: O20150922001275 |
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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. Rachel Marie 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 |
Rachel Marie Qualley, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Rachel Marie Qualley, MD 16516 Manchester Rd, Wildwood, MO 63040-1217 Ph: (636) 458-8400 |
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