Kelley Qualters, - Medicare Nurse Practitioner in South Portland, ME

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Kelley Qualters, is a medicare enrolled "Nurse Practitioner - Adult Health" in South Portland, Maine. Her current practice location is 21 Grand St, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (781) 893-6014.

Kelley Qualters is licensed to practice in New York (license number 309069) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124761671.

Contact Information

Kelley Qualters,
21 Grand St,
South Portland, ME 04106-2217
(781) 893-6014
Not Available

Map and Direction




Provider's Profile

Full NameKelley Qualters
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location21 Grand St, South Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124761671
  • Provider Enumeration Date: 04/13/2022
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901274091
  • Enrollment ID: I20221121002598

Medical Identifiers

Medical identifiers for Kelley Qualters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124761671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 309069 (New York)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. Kelley Qualters allows following entities to bill medicare on her behalf.
Entity NameMemorial Medical Consultation Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053382523
PECOS PAC ID: 6406755081
Enrollment ID: O20040102000372
Entity NameMemorial Neurology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538130190
PECOS PAC ID: 4688563000
Enrollment ID: O20040313000171
Entity NameMsk Harrison
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174923593
PECOS PAC ID: 1052634045
Enrollment ID: O20141224000110

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. Kelley Qualters 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
Kelley Qualters,
21 Grand St,
South Portland, ME 04106-2217

Ph: (781) 893-6014		Kelley Qualters,
21 Grand St,
South Portland, ME 04106-2217

Ph: (781) 893-6014

Reviews and Comments


Nurse Practitioner Nurses in South Portland, ME

Mr. Michael Urban Trueworthy, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 650 Main St, Ste 213, South Portland, ME 04106
Phone: 207-835-6098    Fax: 207-835-6097
Mary P Delois, RN,MSN,F.N.P.-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 260 Western Ave, South Portland, ME 04106
Phone: 207-761-4700    Fax: 207-761-4744
Pamela G. Argereow, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Foden Road, West, Suite 100, South Portland, ME 04106
Phone: 207-523-3904    Fax: 207-523-8588
Meredith L Curtis, AG PCNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 265 Western Ave Ste 2, South Portland, ME 04106
Phone: 207-661-0200    
Ms. Melissa Nye Libby, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Brickhill Ave, Ste 304, South Portland, ME 04106
Phone: 207-761-4700    Fax: 207-467-8910
Mr. Duncan T Hopkins Jr., MS, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 209 Western Ave, Suite B2, South Portland, ME 04106
Phone: 207-553-9071    Fax: 207-553-9074
Samantha R. Reilly, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Foden Rd East, Ste 203, South Portland, ME 04106
Phone: 207-874-1489    Fax: 207-523-8590

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.