Dr Michael Selby, PHD, MCP in San Luis Obispo, CA - Medicare Psychologist Provider

Dr Michael Selby, PHD, MCP is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in San Luis Obispo, California. His current practice location is 1201 Leff St, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at (805) 439-0377.

Dr Michael Selby is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063017259.

Contact Information

	Dr Michael Selby, PHD, MCP
	1201 Leff St, San Luis Obispo, CA 93401-3711
	(805) 439-0377
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Selby
Gender	Male
Speciality	Psychologist - Cognitive & Behavioral
Location	1201 Leff St, San Luis Obispo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063017259
Provider Enumeration Date: 12/03/2020
Last Update Date: 12/03/2020

Medicare PECOS Information:

PECOS PAC ID: 0547620452
Enrollment ID: I20230724001076

Medical Identifiers

Medical identifiers for Dr Michael Selby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063017259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	(* (Not Available))	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. Dr Michael Selby allows following entities to bill medicare on his behalf.

Entity Name	Pure Autism Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649737735 PECOS PAC ID: 4284967167 Enrollment ID: O20190607001200

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. Dr Michael Selby 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
Dr Michael Selby, PHD, MCP 1201 Leff St, San Luis Obispo, CA 93401-3711 Ph: (805) 439-0377	Dr Michael Selby, PHD, MCP 1201 Leff St, San Luis Obispo, CA 93401-3711 Ph: (805) 439-0377

Reviews and Comments

Psychologist in San Luis Obispo, CA

Dr. Cheryl Wilson Steed, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Highway 1, San Luis Obispo, CA 93409 Phone: 805-547-7900
Dr. Jay Bettergarcia, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Grand Ave, San Luis Obispo, CA 93407 Phone: 805-225-6406
Dr. William A Dahlstrom, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Highway 1 California Men's Colony, San Luis Obispo, CA 93409 Phone: 805-547-7900
Shala Cole, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 956 Walnut St Ste 200, San Luis Obispo, CA 93401 Phone: 805-222-6807
Dr. Mary L Malik, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1110 California Blvd Ste A, San Luis Obispo, CA 93401 Phone: 805-541-2490
Dr. Margaret E O'neill, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1299 Briarwood Dr, Apt 112, San Luis Obispo, CA 93401 Phone: 805-439-0156

Dr Michael Selby, PHD, MCP - Medicare Psychologist in San Luis Obispo, CA