Mariela Jazmin Soto, PSYD in Fort Liberty, NC - Medicare Psychologist Provider

Mariela Jazmin Soto, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Liberty, North Carolina. Her current practice location is 2817 Rock Merritt Ave, Fort Liberty, North Carolina. You can reach out to her office (for appointments etc.) via phone at (419) 405-3191.

Mariela Jazmin Soto is licensed to practice in Virginia (license number 0810007552) 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 1073981577.

Contact Information

	Mariela Jazmin Soto, PSYD
	2817 Rock Merritt Ave, Fort Liberty, NC 28310-2003
	(419) 405-3191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mariela Jazmin Soto
Gender	Female
Speciality	Psychologist - Clinical
Location	2817 Rock Merritt Ave, Fort Liberty, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073981577
Provider Enumeration Date: 09/14/2015
Last Update Date: 01/24/2025

Medicare PECOS Information:

PECOS PAC ID: 8224572045
Enrollment ID: I20240703000486

Medical Identifiers

Medical identifiers for Mariela Jazmin Soto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073981577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810007552 (Virginia)	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. Mariela Jazmin Soto allows following entities to bill medicare on her behalf.

Entity Name	Merion Square Road Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942923123 PECOS PAC ID: 0446605422 Enrollment ID: O20240702003759

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. Mariela Jazmin Soto 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
Mariela Jazmin Soto, PSYD 92-1118 Olani St Apt 1, Kapolei, HI 96707-4223 Ph: (419) 405-3191	Mariela Jazmin Soto, PSYD 2817 Rock Merritt Ave, Fort Liberty, NC 28310-2003 Ph: (419) 405-3191

Reviews and Comments

Psychologist in Fort Liberty, NC

Dr. Glen Stuart Fisher, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069
Richard T Stevens, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: M4232 Goldberg Street, Fort Liberty, NC 28310 Phone: 910-908-5322
Dr. Laurie J Cummings, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merrit Ave Stop A Suite 200, Fort Liberty, NC 28310 Phone: 910-643-2075
Dr. Marielsy Esther Pimentel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 S Rock Meritt Road, Fort Liberty, NC 28310 Phone: 910-907-6630
Julie Catherine Lee, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Road Building 4-3219, Fort Liberty, NC 28310 Phone: 910-570-3048
Dr. Arthur Lloyd Miller, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 509-109-0782 Fax: 910-907-6069

Mariela Jazmin Soto, PSYD - Medicare Psychologist in Fort Liberty, NC