| Jacqueline Selig, ANP | |
|
Highway 191 And Hospital Road, Chinle, AZ 86503 | |
| (928) 674-7166 | |
| (928) 674-7705 |
| Full Name | Jacqueline Selig |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | Highway 191 And Hospital Road, Chinle, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134470628 | NPI | - | NPPES |
| AP60293807 | Other | WA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | AP60293807 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chinle Comprehensive Health Care Facility | Chinle, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 146 |
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Selig, ANP Po Box Ph, Chinle, AZ 86503-8000 Ph: (928) 674-7166 | Jacqueline Selig, ANP Highway 191 And Hospital Road, Chinle, AZ 86503 Ph: (928) 674-7166 |
Gail Ratko, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705 | |
Samantha Austin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: U.s. 191 & Hospital Drive, Chinle, AZ 86503 Phone: 928-674-7001 | |
Ms. Annie R. Moon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Off Hwy 191 Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7705 | |
Ms. Sandra Dodge, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Highway 191 And Ph Drive, Chinle, AZ 86503 Phone: 928-674-7420 Fax: 928-674-7461 | |
Mrs. Marie Atamene Charles, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: Highway 191 & Hospital Drive, Chinle, AZ 86503 Phone: 928-674-7655 | |
Henrietta J Yazzie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Highway 191, Chinle, AZ 86503 Phone: 928-674-7001 |