Dr Todd C Self, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Sonora, California. He went to California School Of Podiatric Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Podiatry. His current practice location is
940 Sylva Ln Ste E, Sonora, California. You can reach out to his office (for appointments etc.) via phone at
(209) 533-3996.
Dr Todd C Self is licensed to practice in California (license number E3690) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871569889.
Healthcare Provider's Profile
| Full Name | Dr Todd C Self |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 35 Years |
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| Location | 940 Sylva Ln Ste E, Sonora, California |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Todd C Self attended and graduated from California School Of Podiatric Medicine in 1989
NPI Data:
- NPI Number: 1871569889
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658480777
- Enrollment ID: I20121221000064
Medical Identifiers
Medical identifiers for Dr Todd C Self such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871569889 | NPI | - | NPPES |
| 000E36900 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | E3690 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E3690 (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. Dr Todd C Self allows following entities to bill medicare on his behalf.
| Provider Name | Todd C Self Dpm Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1972781953
PECOS PAC ID: 8123147212
Enrollment ID: O20121221000058 |
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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. Dr Todd C 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 |
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Dr Todd C Self, DPM
940 Sylva Ln Ste E,
Sonora, CA 95370-5969
Ph: (209) 533-3996 | Dr Todd C Self, DPM
940 Sylva Ln Ste E,
Sonora, CA 95370-5969
Ph: (209) 533-3996 |
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