Dr Daniel Thomas Soderberg, OD - Medicare Optometrist in Mansfield, OH

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Dr Daniel Thomas Soderberg, OD is a medicare enrolled "Optometrist" provider in Mansfield, Ohio. His current practice location is 1164 Lexington Ave, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 756-0500.

Dr Daniel Thomas Soderberg is licensed to practice in Ohio (license number OPT.006093) 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 1245527654.

Contact Information

Dr Daniel Thomas Soderberg, OD
1164 Lexington Ave,
Mansfield, OH 44907-2254
(419) 756-0500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Daniel Thomas Soderberg
GenderMale
SpecialityOptometrist
Location1164 Lexington Ave, Mansfield, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245527654
  • Provider Enumeration Date: 07/06/2011
  • Last Update Date: 02/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3870768427
  • Enrollment ID: I20111208000699

Medical Identifiers

Medical identifiers for Dr Daniel Thomas Soderberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245527654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OEG002472 (Pennsylvania)Secondary
152W00000XOptometrist OPT.006093 (Ohio)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. Dr Daniel Thomas Soderberg allows following entities to bill medicare on his behalf.
Provider NameDr Ronald J Gaudio & Associates Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1447286034
PECOS PAC ID: 2062301278
Enrollment ID: O20040315000718
Provider NameClarkson Optometry Midwest Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073917597
PECOS PAC ID: 0749504165
Enrollment ID: O20150113001118

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. Dr Daniel Thomas Soderberg 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 AddressPractice Location Address
Dr Daniel Thomas Soderberg, OD
1701 Woodland Hall Dr,
Delaware, OH 43015-7009

Ph: () -		Dr Daniel Thomas Soderberg, OD
1164 Lexington Ave,
Mansfield, OH 44907-2254

Ph: (419) 756-0500

Reviews and Comments


Optometrist in Mansfield, OH

Dr. Brian Kleshinski, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1341 Lexington Ave, Mansfield, OH 44907
Phone: 419-756-0081    Fax: 419-756-1631
Dr. Douglas James Schumer, M.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 240 W Cook Rd, Mansfield, OH 44907
Phone: 419-525-3737    Fax: 419-525-3740
Dr. Bairanje R Nayak, PHD OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1456 Park Ave W, Suite R, Mansfield, OH 44906
Phone: 419-529-6699    Fax: 419-529-6379
Ronald A Pycraft, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1456 Park Ave W, Mansfield, OH 44906
Phone: 419-529-4602    
Russell S. Fillmore, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1164 Lexington Ave, Mansfield, OH 44907
Phone: 419-756-0500    
Dr. Elizabeth Anne Frankhouse, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 359 N Lexington Springmill Rd, Mansfield, OH 44906
Phone: 419-529-9675    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.