Renee M Soderquist, RD - Medicare Dietitian in Fullerton, CA

Renee M Soderquist, RD is a medicare enrolled "Dietitian, Registered" provider in Fullerton, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Providence Medical Foundation and her current practice location is 100 E Valencia Mesa Dr, Suite 105, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 446-5640.

Renee M Soderquist is licensed to practice in California (license number R711364) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124280557.

Contact Information

Renee M Soderquist, RD
100 E Valencia Mesa Dr, Suite 105,
Fullerton, CA 92835-3813
(714) 446-5640
(714) 446-5625

Map and Direction




Healthcare Provider's Profile

Full NameRenee M Soderquist
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience18 Years
Location100 E Valencia Mesa Dr, Fullerton, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Renee M Soderquist graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1124280557
  • Provider Enumeration Date: 06/26/2008
  • Last Update Date: 11/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3870785124
  • Enrollment ID: I20101005001286

Medical Identifiers

Medical identifiers for Renee M Soderquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124280557NPI-NPPES
R711364OtherCARD LIC NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered R711364 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

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. Renee M Soderquist allows following entities to bill medicare on her behalf.
Provider NameProvidence Medical Foundation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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. Renee M Soderquist 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
Renee M Soderquist, RD
100 E Valencia Mesa Dr, Suite 105,
Fullerton, CA 92835-3813

Ph: (714) 446-5640
Renee M Soderquist, RD
100 E Valencia Mesa Dr, Suite 105,
Fullerton, CA 92835-3813

Ph: (714) 446-5640

Reviews and Comments


Dietitian, Registered in Fullerton, CA

Monica Martyn, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835
Phone: 714-446-5369    
Monique Garcia, RD
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Medicare: Accepting Medicare Assignments
Practice Location: 433 W Bastanchury Rd, Fullerton, CA 92835
Phone: 714-446-7867    
Lauren Reynolds, RDN
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Medicare: Not Enrolled in Medicare
Practice Location: 504 Malvern Ave, Fullerton, CA 92832
Phone: 714-625-7232    
Mrs. Rosa Li Tse, M.S. R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2511 Regency Cir, Fullerton, CA 92833
Phone: 714-525-8815    Fax: 714-525-8815
Danielle Halewijn,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1227 Riedel Ave, Fullerton, CA 92831
Phone: 562-900-4945    
Susan Watkins, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835
Phone: 714-446-5640    Fax: 714-446-5625

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.