Cullen Thomas Soares, MD in Baltimore, MD - Medicare Student in an Organized Health Care Education/Training Program

Cullen Thomas Soares, MD - Medicare Student in an Organized Health Care Education/Training Program in Baltimore, MD

Cullen Thomas Soares, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. His current practice location is 22 S Greene St Rm N3e09, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 328-6110.

Cullen Thomas Soares is licensed to practice in * (Not Available) (license number ) 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 1346732906.

Contact Information

	Cullen Thomas Soares, MD
	22 S Greene St Rm N3e09, Baltimore, MD 21201-1590
	(410) 328-6110
	Not Available

Map and Direction

Physician's Profile

Full Name	Cullen Thomas Soares
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	22 S Greene St Rm N3e09, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346732906
Provider Enumeration Date: 05/30/2018
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7810242633
Enrollment ID: I20180620000375

Medical Identifiers

Medical identifiers for Cullen Thomas Soares such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346732906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	LP04286 (Rhode Island)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Cullen Thomas Soares 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
Cullen Thomas Soares, MD 22 S Greene St Rm N3e09, Baltimore, MD 21201-1590 Ph: (410) 328-6110	Cullen Thomas Soares, MD 22 S Greene St Rm N3e09, Baltimore, MD 21201-1590 Ph: (410) 328-6110