Dr Evan Andrew Soderstrom, MD is a medicare enrolled "Hospitalist" physician in Milford, Massachusetts. His current practice location is
14 Prospect St, Milford, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 422-2305.
Dr Evan Andrew Soderstrom is licensed to practice in Massachusetts (license number 238963) 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 1205800430.
Physician's Profile
Full Name | Dr Evan Andrew Soderstrom |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 14 Prospect St, Milford, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205800430
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 04/09/2014
Medicare PECOS Information:
- PECOS PAC ID: 2961472899
- Enrollment ID: I20090801000045
Medical Identifiers
Medical identifiers for Dr Evan Andrew Soderstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205800430 | NPI | - | NPPES |
022522 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 238963 (Massachusetts) | 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 Evan Andrew Soderstrom allows following entities to bill medicare on his behalf.
Entity Name | Milford Regional Physician Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902856024 PECOS PAC ID: 5597679449 Enrollment ID: O20040503001341 |
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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 Evan Andrew 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 Evan Andrew Soderstrom, MD 14 Prospect St, Milford, MA 01757-3003 Ph: (508) 422-2305 | Dr Evan Andrew Soderstrom, MD 14 Prospect St, Milford, MA 01757-3003 Ph: (508) 422-2305 |
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