Andrea C So, OD in Madison, WI - Medicare Optometrist Provider

Andrea C So, OD is a medicare enrolled "Optometrist" provider in Madison, Wisconsin. Her current practice location is 1025 Regent St, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 282-2000.

Andrea C So is licensed to practice in California (license number 14890) 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 1831531557.

Contact Information

	Andrea C So, OD
	1025 Regent St, Madison, WI 53715-1248
	(608) 282-2000
	(608) 282-2172

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea C So
Gender	Female
Speciality	Optometrist
Location	1025 Regent St, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831531557
Provider Enumeration Date: 07/23/2013
Last Update Date: 02/25/2019

Medicare PECOS Information:

PECOS PAC ID: 9537302377
Enrollment ID: I20150127001887

Medical Identifiers

Medical identifiers for Andrea C So such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831531557	NPI	-	NPPES
1831531557	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	14890 (California)	Primary
152W00000X	Optometrist	3316-035 (Wisconsin)	Secondary

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. Andrea C So allows following entities to bill medicare on her behalf.

Provider Name	Marshall B Ketchum University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720101876 PECOS PAC ID: 9739075177 Enrollment ID: O20040224000463

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. Andrea C So 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
Andrea C So, OD 1025 Regent St, Madison, WI 53715-1248 Ph: (608) 282-2000	Andrea C So, OD 1025 Regent St, Madison, WI 53715-1248 Ph: (608) 282-2000

Reviews and Comments

Optometrist in Madison, WI

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Andrea C So, OD - Medicare Optometrist in Madison, WI