Shelly Jean Selland, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Forestburg, South Dakota. Her current practice location is
23186 405th Ave, Forestburg, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 495-4144.
Shelly Jean Selland is licensed to practice in South Dakota (license number CP000511) 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 1912193558.
Provider's Profile
| Full Name | Shelly Jean Selland |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 23186 405th Ave, Forestburg, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912193558
- Provider Enumeration Date: 09/18/2007
- Last Update Date: 09/18/2007
Medicare PECOS Information:
- PECOS PAC ID: 0446340038
- Enrollment ID: I20080121000247
Medical Identifiers
Medical identifiers for Shelly Jean Selland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912193558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CP000511 (South Dakota) | 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. Shelly Jean Selland allows following entities to bill medicare on her behalf.
| Entity Name | Horizon Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356459382
PECOS PAC ID: 8921997933
Enrollment ID: O20040315000974 |
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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. Shelly Jean Selland 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 |
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Shelly Jean Selland, NP-C
23186 405th Ave,
Forestburg, SD 57314-6454
Ph: () - | Shelly Jean Selland, NP-C
23186 405th Ave,
Forestburg, SD 57314-6454
Ph: (605) 495-4144 |
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