Jeremy Kent Souder, MD in Philadelphia, PA - Medicare Internal Medicine

Jeremy Kent Souder, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Clinical Care Associates Of The University Of Pennsylvania Health and his current practice location is 3400 Spruce St, 1 Maloney Building, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-2200.

Jeremy Kent Souder is licensed to practice in Pennsylvania (license number MD432810) 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 1225193543.

Contact Information

	Jeremy Kent Souder, MD
	3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206
	(215) 662-2200
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeremy Kent Souder
Gender	Male
Speciality	Internal Medicine
Experience	19 Years
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremy Kent Souder attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2005

NPI Data:

NPI Number: 1225193543
Provider Enumeration Date: 12/27/2006
Last Update Date: 05/21/2012

Medicare PECOS Information:

PECOS PAC ID: 9537238142
Enrollment ID: I20080522000510

Medical Identifiers

Medical identifiers for Jeremy Kent Souder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225193543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MT186304 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	MD432810 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pennsylvania Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinical Care Associates Of The University Of Pennsylvania Health	4688588866	507

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. Jeremy Kent Souder allows following entities to bill medicare on his behalf.

Entity Name	Clinical Care Associates Of The University Of Pennsylvania Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301

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. Jeremy Kent Souder 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
Jeremy Kent Souder, MD 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206 Ph: (215) 662-2200	Jeremy Kent Souder, MD 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206 Ph: (215) 662-2200

Reviews and Comments

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Dr. Robert Burke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208
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Dr. Jason Thomas Ackrivo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871

Jeremy Kent Souder, MD - Medicare Internal Medicine in Philadelphia, PA