Lori Talley Self, CRNA in Dallas, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Lori Talley Self, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Allen Anesthesia Associates, U S Anesthesia Partners Of Texas, Pa and her current practice location is 6606 Lbj Fwy, Suite 200, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 715-5000.

Lori Talley Self is licensed to practice in Texas (license number AP114602) 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 1770501850.

Contact Information

	Lori Talley Self, CRNA
	6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
	(972) 715-5000
	(972) 715-9976

Map and Direction

Provider's Profile

Full Name	Lori Talley Self
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	6606 Lbj Fwy, Dallas, Texas
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:

Lori Talley Self graduated from nursing school in 2005

NPI Data:

NPI Number: 1770501850
Provider Enumeration Date: 07/17/2006
Last Update Date: 05/06/2020

Medicare PECOS Information:

PECOS PAC ID: 0840207783
Enrollment ID: I20060316000621

Medical Identifiers

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

Identifier	Type	State	Issuer
1770501850	NPI	-	NPPES
179065103	Medicaid	TX
179065107	Medicaid	TX
179065110	Other	TX	MEDICAID CSHCN
8770UG	Other	TX	BCBS
179065101	Medicaid	TX
86686U	Other	TX	BCBS
179065112	Medicaid	TX
179065109	Other	TX	MEDICAID CSHCN
179065108	Medicaid	TX
179065102	Medicaid	TX
P00719291	Other	TX	RAILROAD
P01358442	Other	TX	RR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	640967 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP114602 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allen Anesthesia Associates	2264477140	74
U S Anesthesia Partners Of Texas, Pa	7315850351	2379

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. Lori Talley Self allows following entities to bill medicare on her behalf.

Entity Name	U S Anesthesia Partners Of Texas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563

Entity Name	Waxahachie Anesthesia Consultant Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104803089 PECOS PAC ID: 7810950888 Enrollment ID: O20041110000655

Entity Name	Allen Anesthesia Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265469357 PECOS PAC ID: 2264477140 Enrollment ID: O20050621001239

Entity Name	Texas Regional Anesthesia Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457702201 PECOS PAC ID: 8325328628 Enrollment ID: O20161202000581

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. Lori Talley 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
Lori Talley Self, CRNA Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 715-5000	Lori Talley Self, CRNA 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 Ph: (972) 715-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dallas, TX

Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jeannie K Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976

Lori Talley Self, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dallas, TX