Kimberly R Self, DDS in Barrow, AK - Medicare Dentist Provider

Kimberly R Self, DDS is a medicare enrolled "Dentist" provider in Barrow, Alaska. Her current practice location is 1296 Agvik Street, Barrow, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 852-9221.

Kimberly R Self is licensed to practice in Alaska (license number 1395) 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 1073841797.

Contact Information

	Kimberly R Self, DDS
	1296 Agvik Street, Barrow, AK 99723-0029
	(907) 852-9221
	(907) 852-9297

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly R Self
Gender	Female
Speciality	Dentist
Location	1296 Agvik Street, Barrow, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073841797
Provider Enumeration Date: 11/19/2009
Last Update Date: 07/18/2012

Medicare PECOS Information:

PECOS PAC ID: 6103127436
Enrollment ID: I20151210001755

Medical Identifiers

Medical identifiers for Kimberly R Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073841797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	24630 (Texas)	Secondary
122300000X	Dentist	1395 (Alaska)	Primary

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. Kimberly R 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 Address	Practice Location Address
Kimberly R Self, DDS 1296 Agvik Street, Po Box 29, Barrow, AK 99723-0029 Ph: (907) 852-9221	Kimberly R Self, DDS 1296 Agvik Street, Barrow, AK 99723-0029 Ph: (907) 852-9221

Reviews and Comments

Dentist in Barrow, AK

Kimlea Sara Medlin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1296 Agvik St, Barrow, AK 99723 Phone: 907-852-9221 Fax: 907-852-9297
William Earl Hunter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1296 Agvik St, Barrow, AK 99723 Phone: 907-852-9221
Dr. Christopher Clark, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7000 Uula Street, Barrow, AK 99723 Phone: 501-590-4819
Jennifer Miranda Domagalski, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1296 Agvik St, Barrow, AK 99723 Phone: 907-852-9255

Kimberly R Self, DDS - Medicare Dentist in Barrow, AK