James E Self, MD is a medicare enrolled "Orthopaedic Surgery" physician in Dodgeville, Wisconsin. His current practice location is
800 Compassion Way, Suite 136, Dodgeville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 937-7000.
James E Self is licensed to practice in Wisconsin (license number 34165-020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366415895.
Physician's Profile
| Full Name | James E Self |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 800 Compassion Way, Dodgeville, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366415895
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 09/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 4082681333
- Enrollment ID: I20100510000067
Medical Identifiers
Medical identifiers for James E Self such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366415895 | NPI | - | NPPES |
| 31913000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 34165-020 (Wisconsin) | 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. James E Self allows following entities to bill medicare on his behalf.
| Entity Name | Divine Savior Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909 |
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| Entity Name | Upland Hills Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821258740
PECOS PAC ID: 3072415553
Enrollment ID: O20081016000442 |
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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. James E 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 |
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James E Self, MD
800 Compassion Way, Suite 136,
Dodgeville, WI 53533-1956
Ph: (608) 937-7000 | James E Self, MD
800 Compassion Way, Suite 136,
Dodgeville, WI 53533-1956
Ph: (608) 937-7000 |
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