Jennifer Mae Qualm, OTD - Medicare Occupational Therapist in Williston, ND

Jennifer Mae Qualm, OTD is a medicare enrolled "Occupational Therapist" provider in Williston, North Dakota. Her current practice location is 1905 14th St W, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 651-6437.

Jennifer Mae Qualm is licensed to practice in North Dakota (license number 1956) 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 1649903667.

Contact Information

Jennifer Mae Qualm, OTD
1905 14th St W,
Williston, ND 58801-6020
(701) 651-6437
(701) 516-8462

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Mae Qualm
GenderFemale
SpecialityOccupational Therapist
Location1905 14th St W, Williston, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649903667
  • Provider Enumeration Date: 07/07/2022
  • Last Update Date: 09/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547641854
  • Enrollment ID: I20220718003612

Medical Identifiers

Medical identifiers for Jennifer Mae Qualm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649903667NPI-NPPES
1956OtherNDNORTH DAKOTA OCCUPATIONAL THERAPY LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 1956 (North Dakota)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. Jennifer Mae Qualm allows following entities to bill medicare on her behalf.
Provider NameMilestone Health Partners, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1942881560
PECOS PAC ID: 8729483284
Enrollment ID: O20210820001489

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. Jennifer Mae Qualm 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
Jennifer Mae Qualm, OTD
1905 14th St W,
Williston, ND 58801-6020

Ph: (701) 651-6437
Jennifer Mae Qualm, OTD
1905 14th St W,
Williston, ND 58801-6020

Ph: (701) 651-6437

Reviews and Comments


Occupational Therapist in Williston, ND

Mr. Isaac Chandranath George, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-572-1848    Fax: 701-572-2476
Kindra Donvan, MS OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 222 University Ave, Williston, ND 58801
Phone: 701-572-6757    
Mrs. Summer Joy Van Rooyen, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 115 2nd Ave W, Ste 50, Williston, ND 58801
Phone: 701-774-7430    
Brenna Faith Tescher, COTA
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1705 3rd Ave W, Williston, ND 58801
Phone: 701-572-6766    
Andrea Marie White, OYR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 804 11th St W, Williston, ND 58801
Phone: 602-789-1075    
Alissa Reep,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 221 University Ave Ste 203, Williston, ND 58801
Phone: 701-580-8788    Fax: 701-609-5231
Monica Lynn Sem, MS. OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1415 W Dakota Pkwy, Williston, ND 58801
Phone: 701-572-6757    

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.