Dr Maxwell James Self, MD - Medicare Family Practice in Fort Scott, KS

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Dr Maxwell James Self, MD is a medicare enrolled "Family Medicine" physician in Fort Scott, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Health Center Of Southeast Kansas Inc, Community Health Center Of Southeast Kansas Inc and his current practice location is 2322 S Main St, Fort Scott, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 223-8040.

Dr Maxwell James Self is licensed to practice in Kansas (license number 0424746) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497736011.

Contact Information

Dr Maxwell James Self, MD
2322 S Main St,
Fort Scott, KS 66701-3026
(620) 223-8040
(620) 223-8002

Map and Direction




Physician's Profile

Full NameDr Maxwell James Self
GenderMale
SpecialityFamily Practice
Experience32 Years
Location2322 S Main St, Fort Scott, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Maxwell James Self attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1992
  NPI Data:
  • NPI Number: 1497736011
  • Provider Enumeration Date: 11/10/2005
  • Last Update Date: 05/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355381260
  • Enrollment ID: I20050510001175

Medical Identifiers

Medical identifiers for Dr Maxwell James Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497736011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0424746 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Angels Care Home HealthChanute, KSHome health agency
Avalon Hospice (pittsburg)Pittsburg, KSHospice
Nevada Regional Medical CenterNevada, MOHospital
Medicalodges Fort ScottFort scott, KSNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Center Of Southeast Kansas Inc7911816392111
Community Health Center Of Southeast Kansas Inc7911816392111

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 Maxwell James Self allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Center Of Southeast Kansas Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669474425
PECOS PAC ID: 7911816392
Enrollment ID: O20040209000163
Entity NameCancer Center Of Kansas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841251394
PECOS PAC ID: 5395732820
Enrollment ID: O20040427001505

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 Maxwell James Self 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 AddressPractice Location Address
Dr Maxwell James Self, MD
Po Box 1832,
Pittsburg, KS 66762-1832

Ph: (620) 231-9873		Dr Maxwell James Self, MD
2322 S Main St,
Fort Scott, KS 66701-3026

Ph: (620) 223-8040

Reviews and Comments


Family Medicine Doctors in Fort Scott, KS

Dr. Pankaj Gugnani, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2322 S Main St, Fort Scott, KS 66701
Phone: 620-223-8040    Fax: 620-223-8002
Dr. Roger Parris, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 403 Woodland Hills Blvd, Fort Scott, KS 66701
Phone: 620-223-8040    Fax: 620-223-8524
Dr. Katrina M. Burke, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 109 S. Main Street, Fort Scott, KS 66701
Phone: 620-224-2627    Fax: 620-224-2453
Robert R Nichols, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 403 Woodland Hills Blvd, Fort Scott, KS 66701
Phone: 620-223-8040    Fax: 620-223-8524

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.