Jacqueline Qi, PA - Medicare Physician Assistant in Tustin, CA

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Jacqueline Qi, PA is a medicare enrolled "Physician Assistant" in Tustin, California. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Tony N Nakhla Do Inc and her current practice location is 17612 17th St Ste 101, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 243-5450.

Jacqueline Qi is licensed to practice in California (license number ) 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 1215539556.

Contact Information

Jacqueline Qi, PA
17612 17th St Ste 101,
Tustin, CA 92780-1962
(714) 243-5450
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Qi
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location17612 17th St Ste 101, Tustin, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Qi graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1215539556
  • Provider Enumeration Date: 11/11/2020
  • Last Update Date: 03/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860894029
  • Enrollment ID: I20210709001781

Medical Identifiers

Medical identifiers for Jacqueline Qi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215539556NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tony N Nakhla Do Inc36786007156

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. Jacqueline Qi allows following entities to bill medicare on her behalf.
Entity NameAna Cardenas Dermatology a Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114033842
PECOS PAC ID: 6507892247
Enrollment ID: O20050713000826
Entity NameLaurie M Woll DO Dermatology a Medical Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477740546
PECOS PAC ID: 2466489711
Enrollment ID: O20050719000777
Entity NameLaurie M Woll DO Dermatology a Medical Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477740546
PECOS PAC ID: 2466489711
Enrollment ID: O20071228000168
Entity NameTony N Nakhla DO Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730411794
PECOS PAC ID: 3678600715
Enrollment ID: O20100422000264

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. Jacqueline Qi 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
Jacqueline Qi, PA
17612 17th St Ste 101,
Tustin, CA 92780-1962

Ph: (714) 243-5450		Jacqueline Qi, PA
17612 17th St Ste 101,
Tustin, CA 92780-1962

Ph: (714) 243-5450

Reviews and Comments


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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.