Jacqueline Marie Selph, MD is a medicare enrolled "Dermatology" physician in Flat Rock, North Carolina. Her current practice location is
15 Market Center Dr Ste A, Flat Rock, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(286) 978-1170.
Jacqueline Marie Selph is licensed to practice in North Carolina (license number 2019-00922) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609219039.
Physician's Profile
| Full Name | Jacqueline Marie Selph |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 15 Market Center Dr Ste A, Flat Rock, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacqueline Marie Selph attended and graduated from in
NPI Data:
- NPI Number: 1609219039
- Provider Enumeration Date: 04/16/2013
- Last Update Date: 07/17/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jacqueline Marie Selph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609219039 | NPI | - | NPPES |
| 006815480 | Other | NC | UHC |
| P02346770 | Other | NC | RAILROAD MEDICARE |
| 205L8 | Other | NC | BCBS NC |
| NN9352F459 | Other | NC | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | D84894 (Maryland) | Secondary |
| 207N00000X | Dermatology | 2019-00922 (North Carolina) | 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. Jacqueline Marie Selph 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 |
|---|
Jacqueline Marie Selph, MD
15 Market Center Dr Ste A,
Flat Rock, NC 28731-8529
Ph: (828) 697-1170 | Jacqueline Marie Selph, MD
15 Market Center Dr Ste A,
Flat Rock, NC 28731-8529
Ph: (286) 978-1170 |
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