Ellen Self, PA-C in Goleta, CA - Medicare Physician Assistant

Ellen Self, PA-C is a medicare enrolled "Physician Assistant" in Goleta, California. Her current practice location is 5580 Calle Real, Goleta, California. You can reach out to her office (for appointments etc.) via phone at (805) 617-7878.

Ellen Self is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255960381.

Contact Information

	Ellen Self, PA-C
	5580 Calle Real, Goleta, CA 93111-1646
	(805) 617-7878
	Not Available

Map and Direction

Provider's Profile

Full Name	Ellen Self
Gender	Female
Speciality	Physician Assistant
Location	5580 Calle Real, Goleta, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255960381
Provider Enumeration Date: 04/01/2020
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 3476944190
Enrollment ID: I20220106001273

Medical Identifiers

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

Identifier	Type	State	Issuer
1255960381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Ellen 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
Ellen Self, PA-C 83 Six Flags Cir, Buellton, CA 93427-9555 Ph: () -	Ellen Self, PA-C 5580 Calle Real, Goleta, CA 93111-1646 Ph: (805) 617-7878

Reviews and Comments

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Ellen Self, PA-C - Medicare Physician Assistant in Goleta, CA