Dr Jill Elizabeth Self-pike, DMD in Rogers, AR

Dr Jill Elizabeth Self-pike, DMD is a medicare enrolled "Dentist - General Practice" provider in Rogers, Arkansas. Her current practice location is 3710 Southern Hills Blvd Ste 700, Rogers, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 254-8111.

Dr Jill Elizabeth Self-pike is licensed to practice in Arkansas (license number 3403) 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 1073632220.

Contact Information

	Dr Jill Elizabeth Self-pike, DMD
	3710 Southern Hills Blvd Ste 700, Rogers, AR 72758-8094
	(479) 254-8111
	(479) 254-8112

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jill Elizabeth Self-pike
Gender	Female
Speciality	Dentist - General Practice
Location	3710 Southern Hills Blvd Ste 700, Rogers, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073632220
Provider Enumeration Date: 03/28/2007
Last Update Date: 09/17/2009

Medicare PECOS Information:

PECOS PAC ID: 9739611153
Enrollment ID: I20241010000565

Medical Identifiers

Medical identifiers for Dr Jill Elizabeth Self-pike such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073632220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	3403 (Arkansas)	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. Dr Jill Elizabeth Self-pike allows following entities to bill medicare on her behalf.

Entity Name	Samaritan House Community Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932953809 PECOS PAC ID: 4880139401 Enrollment ID: O20240708003213

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. Dr Jill Elizabeth Self-pike 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
Dr Jill Elizabeth Self-pike, DMD 3710 Southern Hills Blvd Ste 700, Rogers, AR 72758-8094 Ph: (479) 936-8600	Dr Jill Elizabeth Self-pike, DMD 3710 Southern Hills Blvd Ste 700, Rogers, AR 72758-8094 Ph: (479) 254-8111

Reviews and Comments

Dentist in Rogers, AR

Randolph L Lais, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5508 Pinnacle Point Dr, Rogers, AR 72758 Phone: 479-845-1225 Fax: 479-845-1227
Dr. Scotty L Bolding, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3333 S Pinnacle Hills Pkwy Ste 140, Rogers, AR 72758 Phone: 479-755-3000 Fax: 479-616-1914
Dr. Dane L Hollis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14533 E Highway 12, Rogers, AR 72756 Phone: 479-925-3632
Dr. Michael Alex Krupka, DDS PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 3207 Arapaho Dr, Rogers, AR 72758 Phone: 479-621-9700 Fax: 479-621-6166
Ty King, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1109 W Chestnut St, Rogers, AR 72756 Phone: 479-633-8846 Fax: 479-633-8890
Dr. Jacob Oliver Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4307 S Pleasant Crossing Blvd Ste 103, Rogers, AR 72758 Phone: 479-553-9215

Dr Jill Elizabeth Self-pike, DMD - Medicare Dentist in Rogers, AR