Zachary B Self, MD - Medicare Family Practice in Memphis, TN

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Zachary B Self, MD is a medicare enrolled "Family Medicine" physician in Memphis, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Surprise Valley Health Care District and his current practice location is 3030 Covington Pike, Suite 100, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 383-8889.

Zachary B Self is licensed to practice in Tennessee (license number 46790) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639326010.

Contact Information

Zachary B Self, MD
3030 Covington Pike, Suite 100,
Memphis, TN 38128-5048
(901) 383-8889
(901) 383-2245

Map and Direction




Physician's Profile

Full NameZachary B Self
GenderMale
SpecialityFamily Practice
Experience17 Years
Location3030 Covington Pike, Memphis, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Zachary B Self attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2008
  NPI Data:
  • NPI Number: 1639326010
  • Provider Enumeration Date: 08/27/2008
  • Last Update Date: 11/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1850579079
  • Enrollment ID: I20120221000220

Medical Identifiers

Medical identifiers for Zachary B Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639326010NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 46790 (Tennessee)Primary
207VX0000XObstetrics & Gynecology - Obstetrics 46790 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Modoc Medical CenterAlturas, CAHospital
Surprise Valley Community HospitalCedarville, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surprise Valley Health Care District16583685195

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. Zachary B Self allows following entities to bill medicare on his behalf.
Entity NameCounty Of Ventura
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629167457
PECOS PAC ID: 7911810171
Enrollment ID: O20031112000587
Entity NameLast Frontier Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487669032
PECOS PAC ID: 2466447412
Enrollment ID: O20040419000563
Entity NameSurprise Valley Health Care District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801973052
PECOS PAC ID: 1658368519
Enrollment ID: O20050407000864
Entity NameSeaside Emergency Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639577802
PECOS PAC ID: 8527385061
Enrollment ID: O20150323001317

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. Zachary B 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 AddressPractice Location Address
Zachary B Self, MD
3030 Covington Pike, Suite 100,
Memphis, TN 38128-5048

Ph: (901) 383-8889		Zachary B Self, MD
3030 Covington Pike, Suite 100,
Memphis, TN 38128-5048

Ph: (901) 383-8889

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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