Soni Elizabeth Stake, MD is a medicare enrolled "General Practice" physician in Douglas, Arizona. She went to University Of Texas Medical School At San Antonio and graduated in 2003 and has 21 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Bisbee Hospital Association and her current practice location is
100 E 5th St, Douglas, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 364-7659.
Soni Elizabeth Stake is licensed to practice in Arizona (license number 40468) 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 1487844395.
Physician's Profile
| Full Name | Soni Elizabeth Stake |
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| Gender | Female |
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| Speciality | General Practice |
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| Experience | 21 Years |
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| Location | 100 E 5th St, Douglas, Arizona |
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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. |
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Medical Education and Training:
- Soni Elizabeth Stake attended and graduated from University Of Texas Medical School At San Antonio in 2003
NPI Data:
- NPI Number: 1487844395
- Provider Enumeration Date: 07/26/2007
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012082589
- Enrollment ID: I20120606000040
Medical Identifiers
Medical identifiers for Soni Elizabeth Stake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487844395 | NPI | - | NPPES |
| 362117 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 40468 (Arizona) | Secondary |
| 208600000X | Surgery | 40468 (Arizona) | Secondary |
| 208D00000X | General Practice | 40468 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bisbee Hospital Association | 5092626168 | 44 |
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. Soni Elizabeth Stake allows following entities to bill medicare on her behalf.
| Entity Name | Kayenta Alternative Rural Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174692529
PECOS PAC ID: 3678558129
Enrollment ID: O20040621000422 |
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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. Soni Elizabeth Stake 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 |
|---|
Soni Elizabeth Stake, MD
3815 E Edna Ave,
Phoenix, AZ 85032-2101
Ph: (313) 570-1752 | Soni Elizabeth Stake, MD
100 E 5th St,
Douglas, AZ 85607-2859
Ph: (520) 364-7659 |
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