Mrs Kristen Lee Self, in Columbia, MD - Medicare Nurse Practitioner

Mrs Kristen Lee Self, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Columbia, Maryland. Her current practice location is 5755 Cedar Ln, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 884-4888.

Mrs Kristen Lee Self is licensed to practice in Maryland (license number RN199892) 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 1821602582.

Contact Information

	Mrs Kristen Lee Self,
	5755 Cedar Ln, Columbia, MD 21044-2999
	(410) 884-4888
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kristen Lee Self
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	5755 Cedar Ln, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821602582
Provider Enumeration Date: 09/01/2020
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 7911354667
Enrollment ID: I20231117000201

Medical Identifiers

Medical identifiers for Mrs Kristen Lee Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821602582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	RN199892 (Maryland)	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. Mrs Kristen Lee Self allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1023772290 PECOS PAC ID: 4981745098 Enrollment ID: O20211122000419

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. Mrs Kristen Lee 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
Mrs Kristen Lee Self, 5839 Brandons Way, Elkridge, MD 21075-7301 Ph: (703) 509-3529	Mrs Kristen Lee Self, 5755 Cedar Ln, Columbia, MD 21044-2999 Ph: (410) 884-4888

Reviews and Comments

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Mrs Kristen Lee Self, - Medicare Nurse Practitioner in Columbia, MD