Theodosios Soldatos, MD is a medicare enrolled "Internal Medicine" physician in Keystone Heights, Florida. His current practice location is
100 Commercial Dr, Keystone Heights, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 473-6595.
Theodosios Soldatos is licensed to practice in Florida (license number ME68179) 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 1114992625.
Physician's Profile
| Full Name | Theodosios Soldatos |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 100 Commercial Dr, Keystone Heights, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114992625
- Provider Enumeration Date: 02/18/2006
- Last Update Date: 10/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 2668371956
- Enrollment ID: I20040106000370
Medical Identifiers
Medical identifiers for Theodosios Soldatos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114992625 | NPI | - | NPPES |
| 377896700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | ME68179 (Florida) | Primary |
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. Theodosios Soldatos allows following entities to bill medicare on his behalf.
| Entity Name | Rural Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871569061
PECOS PAC ID: 7214849520
Enrollment ID: O20031219000375 |
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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. Theodosios Soldatos 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 |
|---|
Theodosios Soldatos, MD
1302 River St,
Palatka, FL 32177-5042
Ph: (386) 328-8371 | Theodosios Soldatos, MD
100 Commercial Dr,
Keystone Heights, FL 32656-6802
Ph: (352) 473-6595 |
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