Fred F Soeprono, MD in Loma Linda, CA

Fred F Soeprono, MD is a medicare enrolled "Dermatology" physician in Loma Linda, California. He went to Loma Linda University School Of Medicine and graduated in 1973 and has 52 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Steven E Hodgkin Md A Professional Corporation and his current practice location is 25084 Barton Rd Apt B, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 796-2211.

Fred F Soeprono is licensed to practice in California (license number G28216) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1659485746.

Contact Information

	Fred F Soeprono, MD
	25084 Barton Rd Apt B, Loma Linda, CA 92354-2828
	(909) 796-2211
	(909) 796-6937

Map and Direction

Physician's Profile

Full Name	Fred F Soeprono
Gender	Male
Speciality	Dermatology
Experience	52 Years
Location	25084 Barton Rd Apt B, Loma Linda, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fred F Soeprono attended and graduated from Loma Linda University School Of Medicine in 1973

NPI Data:

NPI Number: 1659485746
Provider Enumeration Date: 08/18/2006
Last Update Date: 01/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3476637653
Enrollment ID: I20080226000875

Medical Identifiers

Medical identifiers for Fred F Soeprono such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659485746	NPI	-	NPPES
00G282160	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	G28216 (California)	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. Fred F Soeprono allows following entities to bill medicare on his behalf.

Entity Name	Steven E Hodgkin Md A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885053 PECOS PAC ID: 3577454099 Enrollment ID: O20040323001814

Entity Name	Soeprono Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306194261 PECOS PAC ID: 0042460156 Enrollment ID: O20121026000245

Entity Name	Jennifer Hayhurst Physician Assistant Apc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699456392 PECOS PAC ID: 0941657167 Enrollment ID: O20231109002409

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. Fred F Soeprono 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
Fred F Soeprono, MD 25084 Barton Rd, Apt B, Loma Linda, CA 92354-2828 Ph: (909) 796-2211	Fred F Soeprono, MD 25084 Barton Rd Apt B, Loma Linda, CA 92354-2828 Ph: (909) 796-2211

Reviews and Comments

Dermatology Doctors in Loma Linda, CA

Mrs. Jane Mieko-hirokane Cantos, Dermatology Medicare: Not Enrolled in Medicare Practice Location: Jerry L Pettis Veterans Hospital; Medical Service 111d, 11201 Benton Avenue, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3225
Abel Torres, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2600, Loma Linda, CA 92354 Phone: 909-558-2055
Shawna Kay Langley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2600, Loma Linda, CA 92354 Phone: 909-558-2062
Brigette Mary Lee, MD Dermatology Medicare: Medicare Enrolled Practice Location: 25865 Barton Rd Ste 101, Loma Linda, CA 92354 Phone: 909-558-2890
Jack Seeburger, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3225
Mrs. Melanie Emad Tawfik, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 25865 Barton Rd Ste 101, Loma Linda, CA 92354 Phone: 909-558-2890
Dr. Desmond Doss Gibson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Dept Of Dermatology, Loma Linda, CA 92357 Phone: 951-858-5023

Fred F Soeprono, MD - Medicare Dermatology in Loma Linda, CA