Sophorn Mot, CRNA in Philadelphia, PA - Medicare Nurse Anesthetist, Certified Registered

Sophorn Mot, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. Her current practice location is 111 S 11th St, Suite 8490, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 955-6161.

Sophorn Mot is licensed to practice in Pennsylvania (license number RN585927) 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 1518248087.

Contact Information

	Sophorn Mot, CRNA
	111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824
	(215) 955-6161
	(215) 923-5507

Map and Direction

Provider's Profile

Full Name	Sophorn Mot
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	111 S 11th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518248087
Provider Enumeration Date: 08/29/2011
Last Update Date: 09/21/2016

Medicare PECOS Information:

PECOS PAC ID: 7618140740
Enrollment ID: I20111221000090

Medical Identifiers

Medical identifiers for Sophorn Mot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518248087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	26NR14106000 (New Jersey)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN585927 (Pennsylvania)	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. Sophorn Mot allows following entities to bill medicare on her behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Shriners Hospitals For Children
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878

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. Sophorn Mot 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
Sophorn Mot, CRNA 111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824 Ph: (215) 955-6161	Sophorn Mot, CRNA 111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824 Ph: (215) 955-6161

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Mrs. Jaiby V George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140 Phone: 215-707-3326 Fax: 215-707-8028
Carlene M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-8310

Sophorn Mot, CRNA - Medicare Nurse Anesthetist, Certified Registered in Philadelphia, PA