Dr Michelle A Soto, MD - Medicare Family Practice in Waupaca, WI

Dr Michelle A Soto, MD is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare, Incorporated and her current practice location is 710 Riverside Dr, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 256-3000.

Dr Michelle A Soto is licensed to practice in Wisconsin (license number 51829) 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 1396731410.

Contact Information

Dr Michelle A Soto, MD
710 Riverside Dr,
Waupaca, WI 54981-1941
(715) 256-3000
(715) 256-3039

Map and Direction




Physician's Profile

Full NameDr Michelle A Soto
GenderFemale
SpecialityFamily Practice
Experience25 Years
Location710 Riverside Dr, Waupaca, Wisconsin
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:
  • Dr Michelle A Soto attended and graduated from University Of Wisconsin School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1396731410
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012069347
  • Enrollment ID: I20090717000458

Medical Identifiers

Medical identifiers for Dr Michelle A Soto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396731410NPI-NPPES
000563MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD23927 (Oregon)Secondary
207Q00000XFamily Medicine 51829 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare At HomeAppleton, WIHome health agency
Thedacare At HomeAppleton, WIHospice
Thedacare Medical Center-waupacaWaupaca, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Thedacare Medical Center - Wild RoseWild rose, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare, Incorporated1759294887509

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 Michelle A Soto allows following entities to bill medicare on her behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameGroup Health Cooperative Of South Central Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245260165
PECOS PAC ID: 3870489586
Enrollment ID: O20040227000306

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 Michelle A 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 Michelle A Soto, MD
Po Box 8003,
Appleton, WI 54912-8003

Ph: (920) 996-3200
Dr Michelle A Soto, MD
710 Riverside Dr,
Waupaca, WI 54981-1941

Ph: (715) 256-3000

Reviews and Comments


Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: N2437 E Miner Dr, Waupaca, WI 54981
Phone: 608-475-0328    Fax: 715-256-5452
Ashley Tardieu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    Fax: 715-256-3079
Sarah C Durst, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    Fax: 915-756-3079
Dorrie Marie Happ, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3062    Fax: 715-256-3079
Molly Ann Szymanski, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    
Amy Nicole Mandeville,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    
Patty Kile,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    

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.