William Selby, DO - Medicare Pediatrics in Evansville, IN

William Selby, DO is a medicare enrolled "Pediatrics" physician in Evansville, Indiana. His current practice location is 7220 E Virginia St, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 473-8986.

William Selby is licensed to practice in Indiana (license number 02003164A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083651129.

Contact Information

William Selby, DO
7220 E Virginia St,
Evansville, IN 47715-4068
(812) 473-8986
Not Available



Physician's Profile

Full NameWilliam Selby
GenderMale
SpecialityPediatrics
Location7220 E Virginia St, Evansville, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083651129
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 08/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0648282483
  • Enrollment ID: I20070523000014

Medical Identifiers

Medical identifiers for William Selby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083651129NPI-NPPES
200857430MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 20A8925 (California)Secondary
208000000XPediatrics 02003164A (Indiana)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. William Selby allows following entities to bill medicare on his behalf.
Entity NameSt Marys Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164852539
PECOS PAC ID: 1153493341
Enrollment ID: O20140313001275

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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. William Selby 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
William Selby, DO
7220 E Virginia St,
Evansville, IN 47715-4068

Ph: () -
William Selby, DO
7220 E Virginia St,
Evansville, IN 47715-4068

Ph: (812) 473-8986

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Pediatrics Doctors in Evansville, IN

Dr. Mohammad I Hussain, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 801 St Marys Dr, Suite 203 E, Evansville, IN 47714
Phone: 812-479-8566    
Dr. Carol Lynn Berseth, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 401 Park Plaza Dr, Evansville, IN 47715
Phone: 812-471-8984    
Jason R Wiles, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3700 Washington Ave, Evansville, IN 47714
Phone: 812-485-4000    
Douglas S Palmenter, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1231 Washington Square, Evansville, IN 47715
Phone: 812-479-6907    Fax: 812-479-6967
Dr. Lata R Shukla, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7220 E Virginia St, Evansville, IN 47715
Phone: 812-473-8986    Fax: 812-471-6692
Richard Cleavelin Probert, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 25 W Division St, Suite 400 West, Evansville, IN 47710
Phone: 812-436-4501    Fax: 812-436-4510

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