Magda Elizabeth Mendoza Soto, is a medicare enrolled "Psychologist - Clinical" provider in Denver, Colorado. Her current practice location is
777 Bannock St, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 436-4949.
Magda Elizabeth Mendoza Soto is licensed to practice in Colorado (license number PSY.0006387) 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 1528532900.
Healthcare Provider's Profile
| Full Name | Magda Elizabeth Mendoza Soto |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 777 Bannock St, Denver, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528532900
- Provider Enumeration Date: 01/18/2019
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931632536
- Enrollment ID: I20241104000968
Medical Identifiers
Medical identifiers for Magda Elizabeth Mendoza Soto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528532900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY.0006387 (Colorado) | 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. Magda Elizabeth Mendoza Soto allows following entities to bill medicare on her behalf.
| Entity Name | Denver Health And Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477569838
PECOS PAC ID: 4688583578
Enrollment ID: O20031105000211 |
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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. Magda Elizabeth Mendoza Soto 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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Magda Elizabeth Mendoza Soto,
777 Bannock St,
Denver, CO 80204-4597
Ph: (303) 436-4949 | Magda Elizabeth Mendoza Soto,
777 Bannock St,
Denver, CO 80204-4597
Ph: (303) 436-4949 |
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