Thomas Modad Soeprono, MD in Seattle, WA

Thomas Modad Soeprono, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Seattle, Washington. He went to Loma Linda University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice The Association Of University Physicians and his current practice location is 1959 Ne Pacific St, Box 356560, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 598-6195.

Thomas Modad Soeprono is licensed to practice in Washington (license number MD60475121) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245559467.

Contact Information

	Thomas Modad Soeprono, MD
	1959 Ne Pacific St, Box 356560, Seattle, WA 98195-0001
	(206) 598-6195
	Not Available

Map and Direction

Physician's Profile

Full Name	Thomas Modad Soeprono
Gender	Male
Speciality	Psychiatry
Experience	14 Years
Location	1959 Ne Pacific St, Seattle, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Thomas Modad Soeprono attended and graduated from Loma Linda University School Of Medicine in 2010

NPI Data:

NPI Number: 1245559467
Provider Enumeration Date: 05/27/2010
Last Update Date: 08/13/2015

Medicare PECOS Information:

PECOS PAC ID: 3971814849
Enrollment ID: I20150618001234

Medical Identifiers

Medical identifiers for Thomas Modad Soeprono such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245559467	NPI	-	NPPES
1245559467	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD60475121 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Washington Medical Ctr	Seattle, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Association Of University Physicians	0446162697	3017

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. Thomas Modad Soeprono allows following entities to bill medicare on his behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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. Thomas Modad Soeprono 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
Thomas Modad Soeprono, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700	Thomas Modad Soeprono, MD 1959 Ne Pacific St, Box 356560, Seattle, WA 98195-0001 Ph: (206) 598-6195

Reviews and Comments

Psychiatry & Neurology Doctors in Seattle, WA

Dr. Herbert Orenstein, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 901 Boren Avenue, #702, Seattle, WA 98104 Phone: 206-623-7444 Fax: 206-623-7445
Dr. Rebecca Mae Allen, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 805 Madison St Ste 401, Seattle, WA 98104 Phone: 206-467-6300
Monica Kristin Samelson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1613 E Alder St, Seattle, WA 98122 Phone: 206-558-5495
Roy D Clark Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 509 Olive Way, #531, Seattle, WA 98101 Phone: 206-682-5203 Fax: 206-682-5304
Julia H Murray, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4800 Sand Point Way Ne, Seattle, WA 98105 Phone: 206-987-2000
Marcio A Sotero De Menezes, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway Ste 400, Seattle, WA 98122 Phone: 206-215-1440 Fax: 206-215-1441
Dr. Lee-loung Liou, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065

Thomas Modad Soeprono, MD - Medicare Psychiatry in Seattle, WA