Mary S Soderstrom, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Columbus, Texas. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 1990 and has 34 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Texana Center and her current practice location is
1460 Walnut St, Columbus, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 732-6204.
Mary S Soderstrom is licensed to practice in Texas (license number J0896) 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 1427160704.
Physician's Profile
Full Name | Mary S Soderstrom |
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Gender | Female |
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Speciality | Psychiatry |
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Experience | 34 Years |
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Location | 1460 Walnut St, Columbus, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mary S Soderstrom attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1990
NPI Data:
- NPI Number: 1427160704
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123169042
- Enrollment ID: I20100113000877
Medical Identifiers
Medical identifiers for Mary S Soderstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427160704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | J0896 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Texana Center | 7618963265 | 18 |
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. Mary S Soderstrom allows following entities to bill medicare on her behalf.
Entity Name | Texana Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912954058 PECOS PAC ID: 7618963265 Enrollment ID: O20040421000535 |
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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. Mary S Soderstrom 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 |
Mary S Soderstrom, MD 4910 Airport Ave, Bldg D, Rosenberg, TX 77471-5759 Ph: (281) 239-1369 | Mary S Soderstrom, MD 1460 Walnut St, Columbus, TX 78934-2131 Ph: (979) 732-6204 |
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