Yelena Samofalov, MD in Southbridge, MA

Yelena Samofalov, MD is a medicare enrolled "Pediatrics" physician in Southbridge, Massachusetts. Her current practice location is 100 South St Ste 102, Southbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 765-7860.

Yelena Samofalov is licensed to practice in Massachusetts (license number 223642) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780798686.

Contact Information

	Yelena Samofalov, MD
	100 South St Ste 102, Southbridge, MA 01550-4051
	(508) 765-7860
	(508) 765-7861

Map and Direction

Physician's Profile

Full Name	Yelena Samofalov
Gender	Female
Speciality	Pediatrics
Location	100 South St Ste 102, Southbridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780798686
Provider Enumeration Date: 08/18/2006
Last Update Date: 01/04/2019

Medicare PECOS Information:

PECOS PAC ID: 2961411806
Enrollment ID: I20181206001085

Medical Identifiers

Medical identifiers for Yelena Samofalov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780798686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	223642 (Massachusetts)	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. Yelena Samofalov allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Harrington Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346420874 PECOS PAC ID: 2567543689 Enrollment ID: O20080115000505

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. Yelena Samofalov 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
Yelena Samofalov, MD Po Box 40, Southbridge, MA 01550-0040 Ph: (508) 909-7799	Yelena Samofalov, MD 100 South St Ste 102, Southbridge, MA 01550-4051 Ph: (508) 765-7860

Reviews and Comments

Pediatrics Doctors in Southbridge, MA

Dr. Marsha Kay Fearing, MD, MPH, MMSC. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 South St, Ste 102, Southbridge, MA 01550 Phone: 508-765-7860 Fax: 508-765-7861
Robert J Giordano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Suite 205, Southbridge, MA 01550 Phone: 508-765-0934 Fax: 508-765-0013
Ms. Cynthia Mae Wilson Grillo, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 South St, Suite 102, Southbridge, MA 01550 Phone: 508-764-3194 Fax: 508-765-5458
Dr. Anu Radha Pathak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 85 South St, Southbridge, MA 01550 Phone: 508-765-2700 Fax: 508-764-2563
Diana Rabkina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 South St, Suite 102, Southbridge, MA 01550 Phone: 508-765-7860 Fax: 508-765-7861
Dr. Pamela Anne Wilson, D.O. FACOP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Medical Arts Building, Ste 207, Southbridge, MA 01550 Phone: 508-765-9700 Fax: 508-765-9704

Yelena Samofalov, MD - Medicare Pediatrics in Southbridge, MA