Ekaterina V Soforo, MD in Manitowoc, WI - Medicare Internal Medicine

Ekaterina V Soforo, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Manitowoc, Wisconsin. Her current practice location is 1650 S 41st St, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 320-4500.

Ekaterina V Soforo is licensed to practice in Wisconsin (license number 52056-20) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700077054.

Contact Information

	Ekaterina V Soforo, MD
	1650 S 41st St, Manitowoc, WI 54220-7316
	(920) 320-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Ekaterina V Soforo
Gender	Female
Speciality	Internal Medicine - Rheumatology
Location	1650 S 41st St, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700077054
Provider Enumeration Date: 08/01/2007
Last Update Date: 11/18/2021

Medicare PECOS Information:

PECOS PAC ID: 3072543784
Enrollment ID: I20081009000252

Medical Identifiers

Medical identifiers for Ekaterina V Soforo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700077054	NPI	-	NPPES
P00976931	Other	WI	RR MEDICARE
207R00000X	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	52056-20 (Wisconsin)	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. Ekaterina V Soforo allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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. Ekaterina V Soforo 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
Ekaterina V Soforo, MD 2301 N Lake Dr, Milwaukee, WI 53211-4508 Ph: (414) 291-1000	Ekaterina V Soforo, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-4500

Reviews and Comments

Internal Medicine Doctors in Manitowoc, WI

Vladimir N Swerchowsky, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000
Mary A Govier, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Manitowoc, WI 54220 Phone: 920-320-6212 Fax: 920-684-5548
Dr. Pooja Bharat Patel, MD, MBS Rheumatology Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 262-505-9131
Dr. Tresa A Teehan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 601 Reed Ave, Manitowoc, WI 54221 Phone: 920-682-8841 Fax: 920-686-5250
Tamiru Ertiro Tumdedo, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011
Dr. Michael J Rosenberg, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000
Matthew Gentile, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 Fax: 920-320-3049

Ekaterina V Soforo, MD - Medicare Internal Medicine in Manitowoc, WI