Selina Han, is a medicare enrolled "Family Medicine - Adult Medicine" in Covina, California. Her current practice location is
250 W Badillo St, Covina, California. You can reach out to her office (for appointments etc.) via phone at
(626) 967-6225.
Selina Han is licensed to practice in California (license number 65032) 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 1114763554.
Provider's Profile
| Full Name | Selina Han |
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| Gender | Female |
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| Speciality | Family Medicine - Adult Medicine |
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| Location | 250 W Badillo St, Covina, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114763554
- Provider Enumeration Date: 07/05/2024
- Last Update Date: 07/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193249365
- Enrollment ID: I20250409001072
Medical Identifiers
Medical identifiers for Selina Han such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114763554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 65032 (California) | 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. Selina Han allows following entities to bill medicare on her behalf.
| Entity Name | Robert Leland Baker |
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| Entity Type | Practitioner - Family Practice |
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| Entity Identifiers | NPI Number: 1033107750
PECOS PAC ID: 9335030915
Enrollment ID: I20101207000885 |
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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. Selina Han 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 |
|---|
Selina Han,
250 W Badillo St,
Covina, CA 91723-1906
Ph: (626) 967-6225 | Selina Han,
250 W Badillo St,
Covina, CA 91723-1906
Ph: (626) 967-6225 |
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