Jean C Self, in Nashville, TN - Medicare Nurse Practitioner

Jean C Self, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Nashville, Tennessee. Her current practice location is 3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 322-5000.

Jean C Self is licensed to practice in Tennessee (license number 28659) 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 1053764035.

Contact Information

	Jean C Self,
	3601 The Vanderbilt Clinic, Nashville, TN 37232-1146
	(615) 322-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jean C Self
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3601 The Vanderbilt Clinic, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053764035
Provider Enumeration Date: 07/14/2016
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0345537254
Enrollment ID: I20230313000111

Medical Identifiers

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

Identifier	Type	State	Issuer
1053764035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	71006382A (Indiana)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	28659 (Tennessee)	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. Jean C Self allows following entities to bill medicare on her behalf.

Entity Name	Vanderbilt Integrated Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982625091 PECOS PAC ID: 7012817919 Enrollment ID: O20040108001021

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. Jean C 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
Jean C Self, 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () -	Jean C Self, 3601 The Vanderbilt Clinic, Nashville, TN 37232-1146 Ph: (615) 322-5000

Reviews and Comments

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Jean C Self, - Medicare Nurse Practitioner in Nashville, TN