John Elliott Selickman, MD in Saint Paul, MN

John Elliott Selickman, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Saint Paul, Minnesota. His current practice location is 640 Jackson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 955-6311.

John Elliott Selickman is licensed to practice in Minnesota (license number 55163) 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 1659500585.

Contact Information

	John Elliott Selickman, MD
	640 Jackson St, Saint Paul, MN 55101-2502
	(651) 955-6311
	Not Available

Map and Direction

Physician's Profile

Full Name	John Elliott Selickman
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	640 Jackson St, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659500585
Provider Enumeration Date: 07/14/2009
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9931357001
Enrollment ID: I20120914000078

Medical Identifiers

Medical identifiers for John Elliott Selickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659500585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	55163 (Minnesota)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	55163 (Minnesota)	Secondary
208M00000X	Hospitalist	55163 (Minnesota)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	55163 (Minnesota)	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. John Elliott Selickman allows following entities to bill medicare on his behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Stillwater Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558350488 PECOS PAC ID: 9436104510 Enrollment ID: O20050322000615

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. John Elliott Selickman 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
John Elliott Selickman, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 955-6311	John Elliott Selickman, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 955-6311

Reviews and Comments

Internal Medicine Doctors in Saint Paul, MN

Wojciech Kraszkiewicz, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673
Nicholas Charles Boysen, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673
Dr. Joel E Money, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-290-0133 Fax: 651-241-2910
Nathan M Frink, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1690 University Ave W, Suite 570, Saint Paul, MN 55104 Phone: 651-232-4800 Fax: 651-232-4899
Dr. Andrew Caraganis, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7670 Fax: 651-254-7676
Dr. Patrick George Manning, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603
Anthony Williams, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673

John Elliott Selickman, MD - Medicare Internal Medicine in Saint Paul, MN