Richard So, MD is a medicare enrolled "Pediatrics" physician in Fairview Park, Ohio. His current practice location is
20800 Westgate Mall, Suite 400, Fairview Park, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 356-2272.
Richard So is licensed to practice in Ohio (license number 35090551) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962428557.
Physician's Profile
Full Name | Richard So |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 20800 Westgate Mall, Fairview Park, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962428557
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 01/10/2009
Medicare PECOS Information:
- PECOS PAC ID: 9739261165
- Enrollment ID: I20080124000309
Medical Identifiers
Medical identifiers for Richard So such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962428557 | NPI | - | NPPES |
000000536776 | Other | OH | ANTHEM BC/BS |
340714618243 | Other | OH | CARESOURCE |
2780745 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35090551 (Ohio) | Primary |
207RS0010X | Internal Medicine - Sports Medicine | 35090551 (Ohio) | Secondary |
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. Richard So allows following entities to bill medicare on his behalf.
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
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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. Richard So 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 |
Richard So, MD 20800 Westgate Mall, Suite 400, Fairview Park, OH 44126-1323 Ph: (440) 356-2272 | Richard So, MD 20800 Westgate Mall, Suite 400, Fairview Park, OH 44126-1323 Ph: (440) 356-2272 |
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