MEDICARE: QUESTCARE MEDICAL SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	363A00000X	Physician Assistant
3	207P00000X	Emergency Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CD6603	OTHER	TX	MEDICARE RR
4	CD6602	OTHER	TX	MEDICARE RR
8	CD4261	OTHER	TX	MEDICARE RR
9	DD9969	OTHER	TX	MEDICARE RR
10	CD6604	OTHER	TX	MEDICARE RR
15	CD4260	OTHER	TX	MEDICARE RR
16	CD6600	OTHER	TX	MEDICARE RR
17	CD4262	OTHER	TX	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0088BH	OTHER	TX	BCBS
5	0023BM	OTHER	TX	BCBS
6	0087BH	OTHER	TX	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306893128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUESTCARE MEDICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	13737 NOEL RD
Second Line	:	#1600
City	:	DALLAS
State	:	TX
Zip	:	75240-1331
Country	:	US
Telephone Number	:	954-838-2371
Fax Number	:

Provider Business Practice Location Address
First Line	:	12221 MERIT DR
Second Line	:	SUITE 1610
City	:	DALLAS
State	:	TX
Zip	:	75251-2202
Country	:	US
Telephone Number	:	469-401-2386
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	KATHLEEN KONDAS
Credential	:
Telephone Number	:	954-838-2371

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	09/17/2019

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Directions to “QUESTCARE MEDICAL SERVICES PLLC ” Practice Location

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