Angela Donna Self, MD in Fort Worth, TX - Medicare Internal Medicine

Angela Donna Self, MD is a medicare enrolled "Internal Medicine" physician in Fort Worth, Texas. Her current practice location is 3500 Noble Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 632-6000.

Angela Donna Self is licensed to practice in Texas (license number L5900) 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 1346230547.

Contact Information

	Angela Donna Self, MD
	3500 Noble Ave, Fort Worth, TX 76111-4618
	(817) 632-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Angela Donna Self
Gender	Female
Speciality	Internal Medicine
Location	3500 Noble Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346230547
Provider Enumeration Date: 10/27/2005
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 8820060635
Enrollment ID: I20080325000041

Medical Identifiers

Medical identifiers for Angela Donna Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346230547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	L5900 (Texas)	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. Angela Donna Self allows following entities to bill medicare on her behalf.

Entity Name	Medhealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832

Entity Name	Questcare Hospitalists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265441620 PECOS PAC ID: 5799785119 Enrollment ID: O20070109000581

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. Angela Donna 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
Angela Donna Self, MD 3500 Noble Ave, Fort Worth, TX 76111-4618 Ph: (817) 632-6000	Angela Donna Self, MD 3500 Noble Ave, Fort Worth, TX 76111-4618 Ph: (817) 632-6000

Reviews and Comments

Internal Medicine Doctors in Fort Worth, TX

Charles A Carlton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708
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Stevan A Gonzalez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645
Jeremy Aaron Ross, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Magnolia Ave, Fort Worth, TX 76104 Phone: 817-759-7000 Fax: 817-759-7027
Elie B Choufani, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305
Syed Hadi Jafri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815
Cheryl K Mcdonald, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 College Ave, Fort Worth, TX 76104 Phone: 817-810-9810 Fax: 817-810-9815

Angela Donna Self, MD - Medicare Internal Medicine in Fort Worth, TX