Sophia Mansfield Swanson, MD - Medicare Gastroenterology in Seattle, WA

Sophia Mansfield Swanson, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Seattle, Washington. She went to University Of California, San Francisco School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Kaiser Foundation Health Plan Of Washington and her current practice location is 125 16th Ave, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 326-3000.

Sophia Mansfield Swanson is licensed to practice in Washington (license number 60542275) 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 1831498203.

Contact Information

Sophia Mansfield Swanson, MD
125 16th Ave,
Seattle, WA 98122
(206) 326-3000
Not Available

Map and Direction




Physician's Profile

Full NameSophia Mansfield Swanson
GenderFemale
SpecialityGastroenterology
Experience13 Years
Location125 16th Ave, Seattle, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sophia Mansfield Swanson attended and graduated from University Of California, San Francisco School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1831498203
  • Provider Enumeration Date: 03/24/2011
  • Last Update Date: 05/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648599472
  • Enrollment ID: I20181010001798

Medical Identifiers

Medical identifiers for Sophia Mansfield Swanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831498203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 60542275 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish Medical CenterSeattle, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of Washington90320225791482

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. Sophia Mansfield Swanson allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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. Sophia Mansfield Swanson 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 AddressPractice Location Address
Sophia Mansfield Swanson, MD
125 16th Ave E,
Seattle, WA 98112-5211

Ph: (206) 326-3000
Sophia Mansfield Swanson, MD
125 16th Ave,
Seattle, WA 98122

Ph: (206) 326-3000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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