| Stanly T Selby, MD | |
|
821 Jeffee Dr Annex A, Kermit, TX 79745 | |
| (325) 695-4030 | |
| (432) 586-9136 |
| Full Name | Stanly T Selby |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 821 Jeffee Dr Annex A, Kermit, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285637520 | NPI | - | NPPES |
| 137995012 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G8410 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ballinger Memorial Hospital | Ballinger, TX | Hospital |
| Concho County Hospital | Eden, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concho County Hospital | 3971505298 | 5 |
| Entity Name | Muenster Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972556009 PECOS PAC ID: 6608785993 Enrollment ID: O20031106000571 |
| Entity Name | Fisher County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104808112 PECOS PAC ID: 2163311465 Enrollment ID: O20040315000096 |
| Entity Name | Sutton County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831140979 PECOS PAC ID: 9032102678 Enrollment ID: O20040407001383 |
| Entity Name | County Of Winkler |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730183658 PECOS PAC ID: 4981698255 Enrollment ID: O20040409000500 |
| Entity Name | Ballinger Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225038938 PECOS PAC ID: 0042200180 Enrollment ID: O20040512001286 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Haskell County Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1184607897 PECOS PAC ID: 1355440413 Enrollment ID: O20070702000050 |
| Entity Name | Concho County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134166226 PECOS PAC ID: 3971505298 Enrollment ID: O20070815000340 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanly T Selby, MD 1115 Industrial Blvd, Abilene, TX 79602-7929 Ph: (325) 695-4030 | Stanly T Selby, MD 821 Jeffee Dr Annex A, Kermit, TX 79745 Ph: (325) 695-4030 |
Dr. Arthur Bernard Tiu Fajardo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 821 Jeffee Dr, Drawer H, Kermit, TX 79745 Phone: 432-586-8209 |