Thomas D Selby, MD in Evansville, IN

Thomas D Selby, MD is a medicare enrolled "Dermatology" physician in Evansville, Indiana. His current practice location is 120 Se 4th St, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 426-9355.

Thomas D Selby is licensed to practice in Indiana (license number 01074554A) 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 1679911382.

Contact Information

	Thomas D Selby, MD
	120 Se 4th St, Evansville, IN 47708-1607
	(812) 426-9355
	(812) 858-4539

Map and Direction

Physician's Profile

Full Name	Thomas D Selby
Gender	Male
Speciality	Dermatology
Location	120 Se 4th St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679911382
Provider Enumeration Date: 06/05/2013
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1355583501
Enrollment ID: I20150409000937

Medical Identifiers

Medical identifiers for Thomas D Selby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679911382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01074554A (Indiana)	Secondary
207N00000X	Dermatology	01074554A (Indiana)	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. Thomas D Selby allows following entities to bill medicare on his behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Thomas D Selby 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
Thomas D Selby, MD Po Box 631767, Cincinnati, OH 45263-1767 Ph: (812) 450-6815	Thomas D Selby, MD 120 Se 4th St, Evansville, IN 47708-1607 Ph: (812) 426-9355

Reviews and Comments

Dermatology Doctors in Evansville, IN

Jon C Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9355 Fax: 812-858-4539
Vanessa M Mischler, NP Dermatology Medicare: Medicare Enrolled Practice Location: 1212 Professional Blvd Ste B, Evansville, IN 47714 Phone: 812-401-9030 Fax: 812-401-9033
Robert William Martin Iii, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9355 Fax: 812-858-4539
Jeffrey Keith Moore, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9355 Fax: 812-858-4539
Dr. Shari Lyn Barrett, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3700 Bellemeade Ave, Suite 120, Evansville, IN 47714 Phone: 812-473-0200 Fax: 812-473-3640
David Surprenant, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-463-4306
Dr. Charles P Hudson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3501 Washington Ave, Evansville, IN 47714 Phone: 812-474-1234 Fax: 812-402-3636

Thomas D Selby, MD - Medicare Dermatology in Evansville, IN