Kimberly J Self, CRNP in Arab, AL - Medicare Family Medicine

Kimberly J Self, CRNP is a medicare enrolled "Family Medicine" physician in Arab, Alabama. Her current practice location is 20 S Main St, Arab, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 586-2324.

Kimberly J Self is licensed to practice in Alabama (license number 1-139240) 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 1932619236.

Contact Information

	Kimberly J Self, CRNP
	20 S Main St, Arab, AL 35016-1394
	(256) 586-2324
	(256) 586-2321

Map and Direction

Physician's Profile

Full Name	Kimberly J Self
Gender	Female
Speciality	Family Medicine
Location	20 S Main St, Arab, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932619236
Provider Enumeration Date: 10/02/2017
Last Update Date: 10/02/2017

Medicare PECOS Information:

PECOS PAC ID: 9335479799
Enrollment ID: I20190926003557

Medical Identifiers

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

Identifier	Type	State	Issuer
1932619236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1-139240 (Alabama)	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. Kimberly J Self allows following entities to bill medicare on her behalf.

Entity Name	Premier Family Care Arab Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245614049 PECOS PAC ID: 1658671839 Enrollment ID: O20151207002561

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 J 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 J Self, CRNP 20 S Main St, Arab, AL 35016-1394 Ph: (256) 586-2324	Kimberly J Self, CRNP 20 S Main St, Arab, AL 35016-1394 Ph: (256) 586-2324

Reviews and Comments

Family Medicine Doctors in Arab, AL

Dr. Randall Keith Morgan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Golfview Dr Ne, Morgan Family Practice Llc, Arab, AL 35016 Phone: 256-586-1212 Fax: 256-931-2270
Mrs. Dayleigh Wisener, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 S Main St, Arab, AL 35016 Phone: 256-586-2324
Dr. John Benton Crider, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1170 N Main St, Arab, AL 35016 Phone: 256-586-4127 Fax: 256-586-0535
Dr. Robert Dean Taylor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 South Main Street, Arab, AL 35016 Phone: 256-586-2976 Fax: 256-586-2121

Kimberly J Self, CRNP - Medicare Family Medicine in Arab, AL