Dr Sonia Hernandez Caruso, DO - Medicare Ophthalmology in Johnstown, NY

Dr Sonia Hernandez Caruso, DO is a medicare enrolled "Ophthalmology" physician in Johnstown, New York. Her current practice location is 229 Hales Mills Rd, Johnstown, New York. You can reach out to her office (for appointments etc.) via phone at (214) 471-3597.

Dr Sonia Hernandez Caruso is licensed to practice in New York (license number 251522) 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 1902188873.

Contact Information

Dr Sonia Hernandez Caruso, DO
229 Hales Mills Rd,
Johnstown, NY 12095-3743
(214) 471-3597
Not Available

Map and Direction




Physician's Profile

Full NameDr Sonia Hernandez Caruso
GenderFemale
SpecialityOphthalmology
Location229 Hales Mills Rd, Johnstown, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902188873
  • Provider Enumeration Date: 09/15/2011
  • Last Update Date: 08/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426221391
  • Enrollment ID: I20160330000163

Medical Identifiers

Medical identifiers for Dr Sonia Hernandez Caruso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902188873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice A-1699-12 (New Mexico)Secondary
208D00000XGeneral Practice 251522 (New York)Secondary
207W00000XOphthalmology A-1699-12 (New Mexico)Secondary
207W00000XOphthalmology 251522 (New York)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 Sonia Hernandez Caruso allows following entities to bill medicare on her behalf.
Entity NameKwiat Eye And Laser Surgery Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275763468
PECOS PAC ID: 4789722810
Enrollment ID: O20091111000095
Entity NameBrookview Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871965855
PECOS PAC ID: 9537420450
Enrollment ID: O20180309000532

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 Sonia Hernandez Caruso 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 Sonia Hernandez Caruso, DO
229 Hales Mills Rd,
Johnstown, NY 12095-3743

Ph: (214) 471-3597
Dr Sonia Hernandez Caruso, DO
229 Hales Mills Rd,
Johnstown, NY 12095-3743

Ph: (214) 471-3597

Reviews and Comments


Ophthalmology Doctors in Johnstown, NY


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.