Shane M Sopp, MD - Obstetrics & Gynecology in Syracuse, NY

Shane M Sopp, MD is a Obstetrics & Gynecology - Gynecology physician based in Syracuse, New York. Shane M Sopp is licensed to practice in New York (license number 141803) and his current practice location is 4900 Broad Rd, Cgh Pob Suite 2v, Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at (315) 492-5005.

NPI number for Shane M Sopp is 1497741243 and his current mailing address is Po Box 2003, East Syracuse, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497741243.

Contact Information

Shane M Sopp, MD
4900 Broad Rd, Cgh Pob Suite 2v,
Syracuse, NY 13215-2265
(315) 492-5005
(315) 492-5324

Map and Direction




Physician's Profile

Full NameShane M Sopp
GenderMale
SpecialityObstetrics & Gynecology - Gynecology
Location4900 Broad Rd, Syracuse, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497741243
  • Provider Enumeration Date: 09/26/2005
  • Last Update Date: 06/18/2012

Medical Identifiers

Medical identifiers for Shane M Sopp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497741243NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology 141803 (New York)Primary

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. Shane M Sopp is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shane M Sopp, MD
Po Box 2003,
East Syracuse, NY 13057-4503

Ph: (315) 446-3904
Shane M Sopp, MD
4900 Broad Rd, Cgh Pob Suite 2v,
Syracuse, NY 13215-2265

Ph: (315) 492-5005

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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