Dr Crystal Dawn Seluk, DO in Kingsport, TN

Dr Crystal Dawn Seluk, DO is a medicare enrolled "Otolaryngology" physician in Kingsport, Tennessee. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Holston Medical Group Pc and her current practice location is 105 W Stone Dr Ste 4d, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 392-6299.

Dr Crystal Dawn Seluk is licensed to practice in Tennessee (license number DO3225) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1568689420.

Contact Information

	Dr Crystal Dawn Seluk, DO
	105 W Stone Dr Ste 4d, Kingsport, TN 37660-3365
	(423) 392-6299
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Crystal Dawn Seluk
Gender	Female
Speciality	Otolaryngology
Experience	18 Years
Location	105 W Stone Dr Ste 4d, Kingsport, Tennessee
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Crystal Dawn Seluk graduated from medical school in 2006

NPI Data:

NPI Number: 1568689420
Provider Enumeration Date: 04/19/2007
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3678744018
Enrollment ID: I20170906002199

Medical Identifiers

Medical identifiers for Dr Crystal Dawn Seluk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568689420	NPI	-	NPPES
10025795400	Medicaid	NE
1568689420	Medicaid	IA
47068731799	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	4167 (Iowa)	Secondary
207Y00000X	Otolaryngology	804 (Nebraska)	Secondary
207YS0123X	Otolaryngology - Facial Plastic Surgery	5101016973 (Michigan)	Secondary
207Y00000X	Otolaryngology	DO3225 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holston Medical Group Pc	8224935754	221

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 Crystal Dawn Seluk allows following entities to bill medicare on her behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416

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 Crystal Dawn Seluk 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 Crystal Dawn Seluk, DO Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066	Dr Crystal Dawn Seluk, DO 105 W Stone Dr Ste 4d, Kingsport, TN 37660-3365 Ph: (423) 392-6299

Reviews and Comments

Otolaryngology Doctors in Kingsport, TN

Dr. Randall Falconer, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1728 N Eastman Rd, Kingsport, TN 37664 Phone: 423-230-6532 Fax: 423-230-4859
Dr. Jeffrey Hunt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 4d, Kingsport, TN 37660 Phone: 423-392-6299 Fax: 423-392-6920
Dr. William J Wallace, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5 Sheridan Sq, Kingsport, TN 37660 Phone: 423-246-8155 Fax: 246-246-8658
Dr. Carl W. Slocum, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5 Sheridan Sq, Kingsport, TN 37660 Phone: 423-246-8155 Fax: 423-246-8658
Dr. Jennifer Lynn Greiner, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5 Sheridan Sq, Kingsport, TN 37660 Phone: 423-146-8155 Fax: 423-246-8658
Dr. David R Osterhus, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5 Sheridan Sq, Kingsport, TN 37660 Phone: 423-246-8155 Fax: 423-246-8658

Dr Crystal Dawn Seluk, DO - Medicare Otolaryngology in Kingsport, TN