Jacqueline Marie Selph, MD is a medicare enrolled "Dermatology" physician in Flat Rock, North Carolina. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. Her current practice location is
15 Market Center Dr Ste A, Flat Rock, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(286) 978-1170.
Jacqueline Marie Selph is licensed to practice in North Carolina (license number 2019-00922) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609219039.
Physician's Profile
| Full Name | Jacqueline Marie Selph |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 11 Years |
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| Location | 15 Market Center Dr Ste A, Flat Rock, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacqueline Marie Selph graduated from medical school in 2013
NPI Data:
- NPI Number: 1609219039
- Provider Enumeration Date: 04/16/2013
- Last Update Date: 07/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709197783
- Enrollment ID: I20191105003000
Medical Identifiers
Medical identifiers for Jacqueline Marie Selph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609219039 | NPI | - | NPPES |
| 006815480 | Other | NC | UHC |
| P02346770 | Other | NC | RAILROAD MEDICARE |
| 205L8 | Other | NC | BCBS NC |
| NN9352F459 | Other | NC | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | D84894 (Maryland) | Secondary |
| 207N00000X | Dermatology | 2019-00922 (North Carolina) | Primary |
Medical Facilities Affiliation
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. Jacqueline Marie Selph allows following entities to bill medicare on her behalf.
| Entity Name | Hendersonville Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770949398
PECOS PAC ID: 3577868108
Enrollment ID: O20160219000882 |
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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. Jacqueline Marie Selph 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 |
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Jacqueline Marie Selph, MD
15 Market Center Dr Ste A,
Flat Rock, NC 28731-8529
Ph: (828) 697-1170 | Jacqueline Marie Selph, MD
15 Market Center Dr Ste A,
Flat Rock, NC 28731-8529
Ph: (286) 978-1170 |
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