Mr Kerry John Sopoci, PSYD in Duluth, MN - Medicare Clinical Psychologist Provider

Mr Kerry John Sopoci, PSYD is a medicare enrolled "Counselor" provider in Duluth, Minnesota. He graduated from healthcare school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice St Lukes Hospital Of Duluth and his current practice location is 220 N 6th Ave E, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 249-7000.

Mr Kerry John Sopoci is licensed to practice in Minnesota (license number LP4446) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639129539.

Contact Information

	Mr Kerry John Sopoci, PSYD
	220 N 6th Ave E, Duluth, MN 55805-1952
	(218) 249-7000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kerry John Sopoci
Gender	Male
Speciality	Clinical Psychologist
Experience	22 Years
Location	220 N 6th Ave E, Duluth, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kerry John Sopoci graduated from medical school in 2002

NPI Data:

NPI Number: 1639129539
Provider Enumeration Date: 05/11/2006
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 8820262819
Enrollment ID: I20111201000613

Medical Identifiers

Medical identifiers for Mr Kerry John Sopoci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639129539	NPI	-	NPPES
797625900	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LP4446 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Hospital	Duluth, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Hospital Of Duluth	7113834839	366

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. Mr Kerry John Sopoci allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Hospital Of Duluth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212

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. Mr Kerry John Sopoci 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
Mr Kerry John Sopoci, PSYD 220 N 6th Ave E, Duluth, MN 55805-1952 Ph: (218) 249-7000	Mr Kerry John Sopoci, PSYD 220 N 6th Ave E, Duluth, MN 55805-1952 Ph: (218) 249-7000

Reviews and Comments

Counselor in Duluth, MN

Ms. Debra Charmaine Viner, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 306 W Superior St Ste 1000, Duluth, MN 55802 Phone: 218-481-7660 Fax: 218-216-1452
Raija S Winter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E Superior St Ste 502, Duluth, MN 55802 Phone: 218-327-2001 Fax: 218-327-0456
Kristina L Scott, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-729-6480
David Lee Scott, MA, LMAC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 332 W Superior St Ste 300, Duluth, MN 55802 Phone: 218-722-4379 Fax: 218-722-4333
Katie Elizabeth Beeman Erickson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11 E Superior St, Duluth, MN 55802 Phone: 218-393-5407 Fax: 218-461-3666
Paul Russell Giddings, MSW, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Superior St Ste 300, Duluth, MN 55802 Phone: 437-921-8722
Mr. Ralph Borchardt I, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Superior St, Duluth, MN 55802 Phone: 218-722-4379

Mr Kerry John Sopoci, PSYD - Medicare Counselor in Duluth, MN