Dr Paul David Sovran, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Kissimme, Florida. He went to New York Medical College and graduated in 1980 and has 44 years of diverse experience with area of expertise as Geriatric Medicine. His current practice location is
211 East Ruby Ave, Kissimme, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 847-3333.
Dr Paul David Sovran is licensed to practice in Florida (license number ME039107) 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 1093710097.
Physician's Profile
| Full Name | Dr Paul David Sovran |
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| Gender | Male |
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| Speciality | Geriatric Medicine |
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| Experience | 44 Years |
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| Location | 211 East Ruby Ave, Kissimme, Florida |
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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. |
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Medical Education and Training:
- Dr Paul David Sovran attended and graduated from New York Medical College in 1980
NPI Data:
- NPI Number: 1093710097
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 05/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 4486838935
- Enrollment ID: I20110407000945
Medical Identifiers
Medical identifiers for Dr Paul David Sovran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093710097 | NPI | - | NPPES |
| 47471 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | ME039107 (Florida) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME039107 (Florida) | Primary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | ME039107 (Florida) | Secondary |
Medical Facilities Affiliation
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 Paul David Sovran allows following entities to bill medicare on his behalf.
| Entity Name | Paul D Sovran Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588979488
PECOS PAC ID: 2769666213
Enrollment ID: O20110407000928 |
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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 Paul David Sovran 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 Paul David Sovran, MD
211 East Ruby Ave,
Kissimme, FL 34741-5679
Ph: (407) 847-3333 | Dr Paul David Sovran, MD
211 East Ruby Ave,
Kissimme, FL 34741-5679
Ph: (407) 847-3333 |
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