Brett Qualls, PT - Medicare Physical Therapist in Lake Havasu City, AZ

Brett Qualls, PT is a medicare enrolled "Physical Therapist" provider in Lake Havasu City, Arizona. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Agave Physical Therapy Llc and his current practice location is 191 Swanson Ave, #102, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 855-7880.

Brett Qualls is licensed to practice in Arizona (license number 9575) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215105630.

Contact Information

Brett Qualls, PT
191 Swanson Ave, #102,
Lake Havasu City, AZ 86403-6699
(928) 855-7880
(928) 855-7881



Healthcare Provider's Profile

Full NameBrett Qualls
GenderMale
SpecialityPhysical Therapy
Experience17 Years
Location191 Swanson Ave, Lake Havasu City, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brett Qualls graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1215105630
  • Provider Enumeration Date: 02/19/2008
  • Last Update Date: 03/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8325118532
  • Enrollment ID: I20120105000857

Medical Identifiers

Medical identifiers for Brett Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215105630NPI-NPPES
34485OtherCACA LICENSE
9575OtherAZARIZONA LICENSE
2594OtherNVNV LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 34485 (California)Secondary
225100000XPhysical Therapist 2594 (Nevada)Secondary
225100000XPhysical Therapist 9575 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agave Physical Therapy Llc21637057992

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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. Brett Qualls allows following entities to bill medicare on his behalf.
Provider NameAgave Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1720521040
PECOS PAC ID: 2163705799
Enrollment ID: O20170206002238

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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. Brett 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 AddressPractice Location Address
Brett Qualls, PT
191 Swanson Ave, #102,
Lake Havasu City, AZ 86403-6699

Ph: (928) 855-7880
Brett Qualls, PT
191 Swanson Ave, #102,
Lake Havasu City, AZ 86403-6699

Ph: (928) 855-7880

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Physical Therapist in Lake Havasu City, AZ

Ms. Elizabeth Rorie Page, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1951 Mesquite Ave, Suite # I, Lake Havasu City, AZ 86403
Phone: 928-680-1637    
Anita Gail Martin, LPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 25 Riviera Blvd, Lake Havasu City, AZ 86403
Phone: 928-505-5555    Fax: 928-505-2877
Donna G Jones D/b/a Havasu Physical Therapy
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2126 Mcculloch Blvd N, Ste 18, Lake Havasu City, AZ 86403
Phone: 928-854-7676    Fax: 928-854-7676
Dr. David Funk, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2781 Osborn Dr, Lake Havasu City, AZ 86406
Phone: 814-758-8838    
Jonathan K Oneill, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 191 Swanson Ave #102, Lake Havasu City, AZ 86403
Phone: 928-855-7880    
Walter Edwin Foxcroft Iii, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1791 Mesquite Ave, Lake Havasu City, AZ 86403
Phone: 928-855-4248    Fax: 928-855-7452
Tom D Bennetch, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 297 S Lake Havasu Ave, #102, Lake Havasu City, AZ 86403
Phone: 928-453-0501    Fax: 928-453-0502

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