Sally Self, MD - Medicare Pathology in Charleston, SC

Sally Self, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Charleston, South Carolina. She went to Vanderbilt University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Pathology. She is a member of the group practice University Medical Associates Of The Medical University Of South Carol and her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Sally Self is licensed to practice in South Carolina (license number 9365) 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 1417978388.

Contact Information

Sally Self, MD
171 Ashley Ave,
Charleston, SC 29425-0001
(843) 792-1414
Not Available



Physician's Profile

Full NameSally Self
GenderFemale
SpecialityPathology
Experience46 Years
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sally Self attended and graduated from Vanderbilt University School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1417978388
  • Provider Enumeration Date: 07/23/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7911942461
  • Enrollment ID: I20050624000225

Medical Identifiers

Medical identifiers for Sally Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417978388NPI-NPPES
093650MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 9365 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Musc Medical CenterCharleston, SCHospital
Mcleod Regional Medical Center-pee DeeFlorence, SCHospital
Tidelands Georgetown Memorial HospitalGeorgetown, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Medical Associates Of The Medical University Of South Carol63057585741297

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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. Sally Self allows following entities to bill medicare on her behalf.
Entity NameUniversity Medical Associates Of The Medical University Of South Carol
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043241110
PECOS PAC ID: 6305758574
Enrollment ID: O20031105000291

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Entity NameMedical University Of South Carolina
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437636057
PECOS PAC ID: 2365403698
Enrollment ID: O20181215000039

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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. Sally 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
Sally Self, MD
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Sally Self, MD
171 Ashley Ave,
Charleston, SC 29425-0001

Ph: (843) 792-1414

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Pathology Doctors in Charleston, SC

Paige Woodham, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425
Phone: 843-792-1086    
Chelsea Wright-void, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425
Phone: 843-792-1086    Fax: 843-792-8974
Corynne Maria Caballero, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 169 Ashley Avenue Room 202 Main Hospital, Msc333, Charleston, SC 29425
Phone: 843-792-1086    Fax: 843-792-8974
Anne Bartlett, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-3121    
David Lindsay Holbrook, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 109 Bee St, Charleston, SC 29401
Phone: 843-789-7519    
Jason Barnes, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Dr. Bradley Jess Marcus, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Avenue, Suite 309, Medical University Of South Carolina, Dept Of Path, Charleston, SC 29525
Phone: 843-792-3121    Fax: 843-792-3537

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