Alyssa Aya Self, MD in Denver, CO - Medicare Internal Medicine

Alyssa Aya Self, MD is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Denver, Colorado. Her current practice location is 1400 Jackson St, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 398-1197.

Alyssa Aya Self is licensed to practice in Colorado (license number DR.0072562) 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 1386164663.

Contact Information

	Alyssa Aya Self, MD
	1400 Jackson St, Denver, CO 80206-2762
	(303) 398-1197
	Not Available

Map and Direction

Physician's Profile

Full Name	Alyssa Aya Self
Gender	Female
Speciality	Internal Medicine - Sleep Medicine
Location	1400 Jackson St, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386164663
Provider Enumeration Date: 06/27/2017
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1658643499
Enrollment ID: I20200722002918

Medical Identifiers

Medical identifiers for Alyssa Aya Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386164663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2017020317 (Missouri)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	DR.0072562 (Colorado)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	DR.0072562 (Colorado)	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. Alyssa Aya Self allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372

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. Alyssa Aya Self 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
Alyssa Aya Self, MD 1400 Jackson St # J200a, Denver, CO 80206-2762 Ph: (303) 398-1197	Alyssa Aya Self, MD 1400 Jackson St, Denver, CO 80206-2762 Ph: (303) 398-1197

Reviews and Comments

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Alyssa Aya Self, MD - Medicare Internal Medicine in Denver, CO