Dr Theresa M Soto, MD - Medicare Obstetrics/gynecology in Herndon, VA

Dr Theresa M Soto, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Herndon, Virginia. She went to State University Of New York At Buffalo School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Center For Vein Restoration Md Llc, Center For Vein Restoration Md Llc, Inova Health Care Services and her current practice location is 150 Elden St, Suite 210, Herndon, Virginia. You can reach out to her office (for appointments etc.) via phone at (855) 830-8346.

Dr Theresa M Soto is licensed to practice in Virginia (license number 0101221215) 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 1760442966.

Contact Information

Dr Theresa M Soto, MD
150 Elden St, Suite 210,
Herndon, VA 20170-4861
(855) 830-8346
(240) 473-4321

Map and Direction




Physician's Profile

Full NameDr Theresa M Soto
GenderFemale
SpecialityObstetrics/gynecology
Experience32 Years
Location150 Elden St, Herndon, Virginia
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 Theresa M Soto attended and graduated from State University Of New York At Buffalo School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1760442966
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 04/26/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9739148008
  • Enrollment ID: I20041004000859

Medical Identifiers

Medical identifiers for Dr Theresa M Soto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760442966NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 0101221215 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Washington HospitalFredericksburg, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Center For Vein Restoration Md Llc872902273631
Center For Vein Restoration Md Llc872902273631
Inova Health Care Services24663510931778

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 Theresa M Soto allows following entities to bill medicare on her behalf.
Entity NameCenter For Vein Restoration Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487772349
PECOS PAC ID: 8729022736
Enrollment ID: O20050610000383
Entity NameCenter For Vascular Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386935781
PECOS PAC ID: 1658319967
Enrollment ID: O20110914000302

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 Theresa M 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 Theresa M Soto, MD
7474 Greenway Center Dr, Suite 1000,
Greenbelt, MD 20770-3504

Ph: (240) 965-3258
Dr Theresa M Soto, MD
150 Elden St, Suite 210,
Herndon, VA 20170-4861

Ph: (855) 830-8346

Reviews and Comments


Obstetrics & Gynecology Doctors in Herndon, VA

Dr. Carolyn Louise Garcia, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1141 Elden St Ste 300, Herndon, VA 20170
Phone: 703-443-2000    

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.