Mrs Kristen Nicole Selph, FNP-C in Cochran, GA

Mrs Kristen Nicole Selph, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cochran, Georgia. Her current practice location is 109 S 3rd St, Cochran, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 934-4988.

Mrs Kristen Nicole Selph is licensed to practice in Georgia (license number RN209034) 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 1982239836.

Contact Information

	Mrs Kristen Nicole Selph, FNP-C
	109 S 3rd St, Cochran, GA 31014-6718
	(478) 934-4988
	(478) 934-4989

Map and Direction

Provider's Profile

Full Name	Mrs Kristen Nicole Selph
Gender	Female
Speciality	Nurse Practitioner - Family
Location	109 S 3rd St, Cochran, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982239836
Provider Enumeration Date: 03/10/2020
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2961803416
Enrollment ID: I20210622002572

Medical Identifiers

Medical identifiers for Mrs Kristen Nicole Selph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982239836	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN209034 (Georgia)	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 Nicole Selph allows following entities to bill medicare on her behalf.

Entity Name	Careconnect Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286

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 Nicole Selph 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 Nicole Selph, FNP-C 109 S 3rd St, Cochran, GA 31014-6718 Ph: (478) 934-4988	Mrs Kristen Nicole Selph, FNP-C 109 S 3rd St, Cochran, GA 31014-6718 Ph: (478) 934-4988

Reviews and Comments

Nurse Practitioner Nurses in Cochran, GA

Debbie Martin, RNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 N. 8th Street, Cochran, GA 31014 Phone: 478-934-6590 Fax: 478-934-8729
Mrs. Tara Thompson Moore, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 426 Ga Highway 26 E, Cochran, GA 31014 Phone: 478-934-2874 Fax: 478-934-2876
Tonya C Beck, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 Old Milledgeville Rd, Cochran, GA 31014 Phone: 478-951-6008
Regina Phillips Wiley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 W Dykes St, Cochran, GA 31014 Phone: 478-271-0200 Fax: 478-934-8887
Nicole Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 W Dykes St, Cochran, GA 31014 Phone: 478-934-6926 Fax: 478-934-8887
Barbara Patricia Orange, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 E Peacock St, Cochran, GA 31014 Phone: 478-934-4988 Fax: 478-934-4989
Elizabeth Hortman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Lewis Graddy Rd, Cochran, GA 31014 Phone: 478-308-9430

Mrs Kristen Nicole Selph, FNP-C - Medicare Nurse Practitioner in Cochran, GA