Kristene Qualls, in Mishawaka, IN - Medicare Nurse Practitioner

Kristene Qualls, is a medicare enrolled "Nurse Practitioner" in Mishawaka, Indiana. Her current practice location is 524 E Mckinley Ave, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 256-2556.

Kristene Qualls is licensed to practice in Indiana (license number 71005344A) 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 1750770053.

Contact Information

	Kristene Qualls,
	524 E Mckinley Ave, Mishawaka, IN 46545-6285
	(574) 256-2556
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristene Qualls
Gender	Female
Speciality	Nurse Practitioner
Location	524 E Mckinley Ave, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750770053
Provider Enumeration Date: 01/10/2015
Last Update Date: 11/21/2016

Medicare PECOS Information:

PECOS PAC ID: 4284955089
Enrollment ID: I20150604002669

Medical Identifiers

Medical identifiers for Kristene Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750770053	NPI	-	NPPES
201282570	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71005344A (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. Kristene Qualls allows following entities to bill medicare on her behalf.

Entity Name	Lawrence Curry
Entity Type	Practitioner - Family Practice
Entity Identifiers	NPI Number: 1104821313 PECOS PAC ID: 8224098959 Enrollment ID: I20041122000575

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. Kristene 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 Address	Practice Location Address
Kristene Qualls, 29580 County Road 6, Elkhart, IN 46514-9513 Ph: (574) 596-3258	Kristene Qualls, 524 E Mckinley Ave, Mishawaka, IN 46545-6285 Ph: (574) 256-2556

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Kristene Qualls, - Medicare Nurse Practitioner in Mishawaka, IN