Dr Scott Soderstrom, D D S P C in Spokane, WA

Dr Scott Soderstrom, D D S P C is a medicare enrolled "Dentist - General Practice" provider in Spokane, Washington. His current practice location is 101 W Cascade Way, Suite 200, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 467-5202.

Dr Scott Soderstrom is licensed to practice in Washington (license number DE00008668) 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 1457326878.

Contact Information

	Dr Scott Soderstrom, D D S P C
	101 W Cascade Way, Suite 200, Spokane, WA 99208-6003
	(509) 467-5202
	(509) 466-0518

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Scott Soderstrom
Gender	Male
Speciality	Dentist - General Practice
Location	101 W Cascade Way, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457326878
Provider Enumeration Date: 02/20/2006
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6709199466
Enrollment ID: I20190917002245

Medical Identifiers

Medical identifiers for Dr Scott Soderstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457326878	NPI	-	NPPES
5037479	Medicaid	WA
DE00008668	Other	WA	STATE DENTAL LICENSE
21933	Other	WA	UNITED CONCORDIA ID
602-040-560	Other	WA	UNIFIED BUSINESS ID
1287SO	Other		BLUE CROSS
0150532	Other	WA	LABOR AND INDUSTRIES ID#
174980063	Other		ADA NUMBER
91-2051287	Other		TAX ID #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DE00008668 (Washington)	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. Dr Scott Soderstrom allows following entities to bill medicare on his behalf.

Entity Name	Scott Soderstrom D D S P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316460421 PECOS PAC ID: 6103155783 Enrollment ID: O20190906001679

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. Dr Scott Soderstrom 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
Dr Scott Soderstrom, D D S P C 101 W Cascade Way, Suite 200, Spokane, WA 99208-6003 Ph: (509) 467-5202	Dr Scott Soderstrom, D D S P C 101 W Cascade Way, Suite 200, Spokane, WA 99208-6003 Ph: (509) 467-5202

Reviews and Comments

Dentist in Spokane, WA

Dr. Neal Donald Curtis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 W Cascade Way, Suite 103, Spokane, WA 99208 Phone: 509-468-1535 Fax: 509-467-6372
Dr. Paul Clark Fawson Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2204 E 29h Ave, Suite 208, Spokane, WA 99203 Phone: 509-535-9515 Fax: 509-535-9525
Natasha Paranjapye, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1001 W 2nd Ave, Spokane, WA 99201 Phone: 509-444-8200
Dr. Daniel Robert Roth, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10010 N. Division St., Spokane, WA 99218 Phone: 509-466-2587
John Dexter Kimball Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3151 E 29th Ave, Spokane, WA 99223 Phone: 509-535-8838 Fax: 509-535-8854
Dr. David B Toillion, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 605 E Holland Ave Ste 222, Spokane, WA 99218 Phone: 509-755-5437 Fax: 509-755-0444
Dr. Christopher W Herzog, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 605 E Holland Ave Ste 222, Spokane, WA 99218 Phone: 509-755-5437 Fax: 509-755-0444

Dr Scott Soderstrom, D D S P C - Medicare Dentist in Spokane, WA