Lee Self, MD - Medicare Obstetrics & Gynecology in Emmett, ID

Lee Self, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Emmett, Idaho. Her current practice location is 2020 S Johns Ave Ste B, Emmett, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 425-7507.

Lee Self is licensed to practice in Idaho (license number M7844) 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 1639121361.

Contact Information

Lee Self, MD
2020 S Johns Ave Ste B,
Emmett, ID 83617-9410
(208) 425-7507
(208) 541-9341



Physician's Profile

Full NameLee Self
GenderFemale
SpecialityObstetrics & Gynecology - Gynecology
Location2020 S Johns Ave Ste B, Emmett, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639121361
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 11/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395657787
  • Enrollment ID: I20031104000378

Medical Identifiers

Medical identifiers for Lee Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639121361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology M7844 (Idaho)Secondary
207VX0000XObstetrics & Gynecology - Obstetrics M7844 (Idaho)Secondary
207VG0400XObstetrics & Gynecology - Gynecology M7844 (Idaho)Primary

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. Lee 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 AddressPractice Location Address
Lee Self, MD
23000 Sweet Ola Hwy,
Ola, ID 83657-5027

Ph: (208) 880-4904
Lee Self, MD
2020 S Johns Ave Ste B,
Emmett, ID 83617-9410

Ph: (208) 425-7507

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Obstetrics & Gynecology Doctors in Emmett, ID


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