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.
Physician's Profile
Full Name | Dr Alfredo Jose Soto |
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Gender | Male |
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Speciality | Psychiatry |
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Experience | 29 Years |
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Location | 182 Sw Academy St, Dallas, Oregon |
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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:
- 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.
Identifier | Type | State | Issuer |
1841308632 | NPI | - | NPPES |
MD21696 | Other | OR | STATE MEDICAL LICENSE |
2019036194 | Other | MO | STATE MEDICAL LICENSE |
122564 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD21696 (Oregon) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD21696 (Oregon) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301505995 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Health And Services Oregon | 0648183608 | 1344 |
County Of Polk | 7315930492 | 7 |
City Of Chesapeake | 6204885601 | 14 |
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 Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
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Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
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Entity Name | County Of Polk |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427081470 PECOS PAC ID: 7315930492 Enrollment ID: O20040405001567 |
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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 Address | Practice 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 |
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