Teri L Selstrom, DNP is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Centralia, Washington. Her current practice location is
1815 Cooks Hill Rd Ste B, Centralia, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 807-7776.
Teri L Selstrom is licensed to practice in Washington (license number AP60229000) 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 1073881397.
Provider's Profile
Full Name | Teri L Selstrom |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Family Health |
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Location | 1815 Cooks Hill Rd Ste B, Centralia, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073881397
- Provider Enumeration Date: 12/01/2011
- Last Update Date: 08/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507029220
- Enrollment ID: I20120516000601
Medical Identifiers
Medical identifiers for Teri L Selstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073881397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SF0001X | Clinical Nurse Specialist - Family Health | AP60229000 (Washington) | 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. Teri L Selstrom allows following entities to bill medicare on her behalf.
Entity Name | Fasa Family Wellness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790181899 PECOS PAC ID: 7618290297 Enrollment ID: O20150107000888 |
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Entity Name | Northwest Healthcare Alliance, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154426815 PECOS PAC ID: 6406765361 Enrollment ID: O20210421000289 |
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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. Teri L Selstrom 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 |
Teri L Selstrom, DNP 1815 Cooks Hill Rd Ste B, Centralia, WA 98531-9170 Ph: (360) 807-7776 | Teri L Selstrom, DNP 1815 Cooks Hill Rd Ste B, Centralia, WA 98531-9170 Ph: (360) 807-7776 |
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