Tiffany M Sotelo, MD - Medicare Urology in Fairfax, VA

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Tiffany M Sotelo, MD is a medicare enrolled "Urology" physician in Fairfax, Virginia. She went to George Washington University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Urology. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States,inc and her current practice location is 12255 Fair Lakes Pkwy, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 934-4122.

Tiffany M Sotelo is licensed to practice in Virginia (license number 0101241947) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922189935.

Contact Information

Tiffany M Sotelo, MD
12255 Fair Lakes Pkwy,
Fairfax, VA 22033-3952
(703) 934-4122
Not Available

Map and Direction




Physician's Profile

Full NameTiffany M Sotelo
GenderFemale
SpecialityUrology
Experience23 Years
Location12255 Fair Lakes Pkwy, Fairfax, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffany M Sotelo attended and graduated from George Washington University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1922189935
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 06/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274635917
  • Enrollment ID: I20070925000264

Medical Identifiers

Medical identifiers for Tiffany M Sotelo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922189935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 0101241947 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Virginia Hospital CenterArlington, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc37794958581673

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. Tiffany M Sotelo allows following entities to bill medicare on her behalf.
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1578638425
PECOS PAC ID: 3779495858
Enrollment ID: O20040805001280
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1073678637
PECOS PAC ID: 3779495858
Enrollment ID: O20100729000796
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1366781700
PECOS PAC ID: 3779495858
Enrollment ID: O20130507000207
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497023188
PECOS PAC ID: 3779495858
Enrollment ID: O20131029000108

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. Tiffany M Sotelo 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
Tiffany M Sotelo, MD
12255 Fair Lakes Pkwy,
Fairfax, VA 22033-3952

Ph: (703) 934-4122		Tiffany M Sotelo, MD
12255 Fair Lakes Pkwy,
Fairfax, VA 22033-3952

Ph: (703) 934-4122

Reviews and Comments


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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.