Lavare Canace Seltun, NP is a medicare enrolled "Nurse Practitioner" physician in Charlotte, North Carolina. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Kentucky, Pllc, Prisma Health Urgent Care Of South Carolina Pc and her current practice location is
2015 Ayrsley Town Blvd Ste 202, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 279-0776.
Lavare Canace Seltun is licensed to practice in North Carolina (license number 5009482) 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 1689108490.
Physician's Profile
| Full Name | Lavare Canace Seltun |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 2015 Ayrsley Town Blvd Ste 202, Charlotte, 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:
- Lavare Canace Seltun graduated from medical school in 2016
NPI Data:
- NPI Number: 1689108490
- Provider Enumeration Date: 04/18/2017
- Last Update Date: 09/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113298456
- Enrollment ID: I20170804002991
Medical Identifiers
Medical identifiers for Lavare Canace Seltun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689108490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5009482 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23559 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5009482 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fast Pace Kentucky, Pllc | 0143525998 | 180 |
| Prisma Health Urgent Care Of South Carolina Pc | 1254703788 | 130 |
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. Lavare Canace Seltun allows following entities to bill medicare on her behalf.
| Entity Name | Matrix Occupational Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144279670
PECOS PAC ID: 2365350220
Enrollment ID: O20040721000922 |
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| Entity Name | Fast Pace Kentucky, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609634633
PECOS PAC ID: 0143525998
Enrollment ID: O20240619000807 |
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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. Lavare Canace Seltun 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 |
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Lavare Canace Seltun, NP
4324 Stone Mountain Dr,
Gastonia, NC 28054-0007
Ph: (980) 745-2195 | Lavare Canace Seltun, NP
2015 Ayrsley Town Blvd Ste 202,
Charlotte, NC 28273-4068
Ph: (984) 279-0776 |
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