Dr Sostanie Takota Enoru, MD in Jefferson City, MO

Dr Sostanie Takota Enoru, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Jefferson City, Missouri. His current practice location is 3501 W Truman Blvd # A, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 636-0635.

Dr Sostanie Takota Enoru is licensed to practice in Missouri (license number 2022031212) 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 1740671254.

Contact Information

	Dr Sostanie Takota Enoru, MD
	3501 W Truman Blvd # A, Jefferson City, MO 65109-0514
	(573) 636-0635
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Sostanie Takota Enoru
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	3501 W Truman Blvd # A, Jefferson City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740671254
Provider Enumeration Date: 02/05/2015
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 9537404561
Enrollment ID: I20200904001584

Medical Identifiers

Medical identifiers for Dr Sostanie Takota Enoru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740671254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	292675 (New York)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	292675 (New York)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	2022031212 (Missouri)	Secondary
208M00000X	Hospitalist	292675 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	292675 (New York)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	2022031212 (Missouri)	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 Sostanie Takota Enoru allows following entities to bill medicare on his behalf.

Entity Name	Amboy Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024

Entity Name	Coney Island Medical Practice Plan, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660

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 Sostanie Takota Enoru 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 Sostanie Takota Enoru, MD Po Box 363, Jefferson City, MO 65102-0363 Ph: (573) 636-0635	Dr Sostanie Takota Enoru, MD 3501 W Truman Blvd # A, Jefferson City, MO 65109-0514 Ph: (573) 636-0635

Reviews and Comments

Internal Medicine Doctors in Jefferson City, MO

Vineela Kasireddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-4800
Mr. Ghulam Ghous, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033
Dr. Thomas W. Schneider, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4351
Dr. Conrad S. Balcer, D.O. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4611
Rolando Daniel Breier, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-893-6404 Fax: 573-893-6505
Chad Zeglis, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3396 Fax: 573-681-3617
Dr. Rodd L Hillard, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2707 W Edgewood Dr, Jefferson City, MO 65109 Phone: 573-635-0233 Fax: 573-635-7436

Dr Sostanie Takota Enoru, MD - Medicare Internal Medicine in Jefferson City, MO