Courtney Gregg Self, MD in Matthews, NC

Courtney Gregg Self, MD is a medicare enrolled "Pediatrics" physician in Matthews, North Carolina. Her current practice location is 201 E Matthews St Ste 100, Matthews, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 847-0572.

Courtney Gregg Self is licensed to practice in North Carolina (license number 2017-02197) 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 1205196037.

Contact Information

	Courtney Gregg Self, MD
	201 E Matthews St Ste 100, Matthews, NC 28105
	(704) 847-0572
	(704) 849-9760

Map and Direction

Physician's Profile

Full Name	Courtney Gregg Self
Gender	Female
Speciality	Pediatrics
Location	201 E Matthews St Ste 100, Matthews, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205196037
Provider Enumeration Date: 05/28/2012
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9739301961
Enrollment ID: I20171205003400

Medical Identifiers

Medical identifiers for Courtney Gregg Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205196037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2017-02197 (North Carolina)	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. Courtney Gregg Self allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Courtney Gregg 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
Courtney Gregg Self, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Courtney Gregg Self, MD 201 E Matthews St Ste 100, Matthews, NC 28105 Ph: (704) 847-0572

Reviews and Comments

Pediatrics Doctors in Matthews, NC

Kevin Leal, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 332 N Trade St # 1500, Matthews, NC 28105 Phone: 704-512-6820
Blaire Marie Williams Smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760
Dr. Meredith Calcina Davitte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105 Phone: 704-384-1080
Dr. Hala Ahmed Elhemaily, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-844-2068
Dr. Latonya Danielle Griffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105 Phone: 704-316-3145 Fax: 704-316-3146
Dr. Varsha Laxman Pherwani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-847-9760

Courtney Gregg Self, MD - Medicare Pediatrics in Matthews, NC