Charity Marie Sophus, is a medicare enrolled "Social Worker - Clinical" provider in Calvert, Texas. Her current practice location is
414 W Townsend, Calvert, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 574-9979.
Charity Marie Sophus is licensed to practice in Texas (license number 56411) 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 1326633900.
Healthcare Provider's Profile
Full Name | Charity Marie Sophus |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 414 W Townsend, Calvert, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326633900
- Provider Enumeration Date: 03/04/2021
- Last Update Date: 03/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315346608
- Enrollment ID: I20210518001742
Medical Identifiers
Medical identifiers for Charity Marie Sophus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326633900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 56411 (Texas) | 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. Charity Marie Sophus allows following entities to bill medicare on her behalf.
Entity Name | Supportive Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
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Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
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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. Charity Marie Sophus 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 |
Charity Marie Sophus, Po Box 416, Calvert, TX 77837-0416 Ph: (979) 574-9979 | Charity Marie Sophus, 414 W Townsend, Calvert, TX 77837 Ph: (979) 574-9979 |
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