Sally Self, MD in Charleston, SC

Sally Self, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Charleston, South Carolina. She went to Vanderbilt University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Pathology. She is a member of the group practice University Medical Associates and her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Sally Self is licensed to practice in South Carolina (license number 9365) 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 1417978388.

Contact Information

	Sally Self, MD
	171 Ashley Ave, Charleston, SC 29425-0001
	(843) 792-1414
	Not Available

Map and Direction

Physician's Profile

Full Name	Sally Self
Gender	Female
Speciality	Pathology
Experience	46 Years
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sally Self attended and graduated from Vanderbilt University School Of Medicine in 1978

NPI Data:

NPI Number: 1417978388
Provider Enumeration Date: 07/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7911942461
Enrollment ID: I20050624000225

Medical Identifiers

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

Identifier	Type	State	Issuer
1417978388	NPI	-	NPPES
093650	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	9365 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Musc Medical Center	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Medical Associates	6305758574	1311

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. Sally Self allows following entities to bill medicare on her behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

Entity Name	Medical University Of South Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437636057 PECOS PAC ID: 2365403698 Enrollment ID: O20181215000039

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. Sally 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
Sally Self, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Sally Self, MD 171 Ashley Ave, Charleston, SC 29425-0001 Ph: (843) 792-1414

Reviews and Comments

Pathology Doctors in Charleston, SC

Paige Woodham, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-1086
Chelsea Wright-void, MD Pathology Medicare: Medicare Enrolled Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-1086 Fax: 843-792-8974
Corynne Maria Caballero, MD Pathology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Thomas James Laux, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-1086
Anne Bartlett, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-3121
David Lindsay Holbrook, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7519
Jason Barnes, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414

Sally Self, MD - Medicare Pathology in Charleston, SC