Dr Alfredo Jose Soto, MD - Medicare Psychiatry in Dallas, OR

Dr Alfredo Jose Soto, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Dallas, Oregon. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Providence Health And Services Oregon, County Of Polk, City Of Chesapeake and his current practice location is 182 Sw Academy St, Suite 30, Dallas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 623-9289.

Dr Alfredo Jose Soto is licensed to practice in Michigan (license number 4301505995) 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 1841308632.

Contact Information

Dr Alfredo Jose Soto, MD
182 Sw Academy St, Suite 30,
Dallas, OR 97338-1922
(503) 623-9289
(503) 831-1726

Map and Direction




Physician's Profile

Full NameDr Alfredo Jose Soto
GenderMale
SpecialityPsychiatry
Experience29 Years
Location182 Sw Academy St, Dallas, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Alfredo Jose Soto attended and graduated from Virginia Commonwealth University, School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1841308632
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688638422
  • Enrollment ID: I20041112000237

Medical Identifiers

Medical identifiers for Dr Alfredo Jose Soto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841308632NPI-NPPES
MD21696OtherORSTATE MEDICAL LICENSE
2019036194OtherMOSTATE MEDICAL LICENSE
122564MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD21696 (Oregon)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry MD21696 (Oregon)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 4301505995 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344
County Of Polk73159304927
City Of Chesapeake620488560114

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 Alfredo Jose Soto allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameCounty Of Polk
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427081470
PECOS PAC ID: 7315930492
Enrollment ID: O20040405001567

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 Alfredo Jose 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 AddressPractice Location Address
Dr Alfredo Jose Soto, MD
17695 Ocean Blvd,
Rockaway Beach, OR 97136-9689

Ph: (503) 548-7363
Dr Alfredo Jose Soto, MD
182 Sw Academy St, Suite 30,
Dallas, OR 97338-1922

Ph: (503) 623-9289

Reviews and Comments


Psychiatry & Neurology Doctors in Dallas, OR


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