Justine Self, FNP in Round Rock, TX - Medicare Nurse Practitioner

Justine Self, FNP is a medicare enrolled "Nurse Practitioner - Family" in Round Rock, Texas. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospital Internists Of Texas Llc and her current practice location is 4681 College Park, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 671-1100.

Justine Self is licensed to practice in Texas (license number AP138188) 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 1104303205.

Contact Information

	Justine Self, FNP
	4681 College Park, Round Rock, TX 78665-1526
	(512) 671-1100
	Not Available

Map and Direction

Provider's Profile

Full Name	Justine Self
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	4681 College Park, Round Rock, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justine Self graduated from nursing school in 2018

NPI Data:

NPI Number: 1104303205
Provider Enumeration Date: 07/23/2018
Last Update Date: 07/23/2018

Medicare PECOS Information:

PECOS PAC ID: 7315290954
Enrollment ID: I20181029000351

Medical Identifiers

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

Identifier	Type	State	Issuer
1104303205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP138188 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Round Rock Medical Center	Round rock, TX	Hospital
Ascension Seton Medical Center Austin	Austin, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospital Internists Of Texas Llc	6507133584	43

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. Justine Self allows following entities to bill medicare on her behalf.

Entity Name	Dell Childrens Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030

Entity Name	Hospital Internists Of Texas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912430281 PECOS PAC ID: 6507133584 Enrollment ID: O20170523000376

Entity Name	Careconnectmd Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043846132 PECOS PAC ID: 2163801754 Enrollment ID: O20220628002987

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. Justine 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
Justine Self, FNP 7000 N. Mopac Expy, Ste #420, Austin, TX 78731 Ph: (512) 482-0045	Justine Self, FNP 4681 College Park, Round Rock, TX 78665-1526 Ph: (512) 671-1100

Reviews and Comments

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Deepa Gaba, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5150 N A W Grimes Blvd, Round Rock, TX 78665 Phone: 512-982-9929

Justine Self, FNP - Medicare Nurse Practitioner in Round Rock, TX