Ainie Soetanto, MD - Medicare Neurology in Bronx, NY

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Ainie Soetanto, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Bronx, New York. She went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2013 and has 12 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Mmc Division Of Neurology Fpp, Maimonides Faculty Practice Plan and her current practice location is 111 E 210th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 920-2625.

Ainie Soetanto is licensed to practice in New York (license number 289406) 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 1942640644.

Contact Information

Ainie Soetanto, MD
111 E 210th St,
Bronx, NY 10467-2401
(718) 920-2625
Not Available

Map and Direction




Physician's Profile

Full NameAinie Soetanto
GenderFemale
SpecialityNeurology
Experience12 Years
Location111 E 210th St, Bronx, New York
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:
  • Ainie Soetanto attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2013
  NPI Data:
  • NPI Number: 1942640644
  • Provider Enumeration Date: 06/27/2013
  • Last Update Date: 04/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3274883590
  • Enrollment ID: I20180907001730

Medical Identifiers

Medical identifiers for Ainie Soetanto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942640644NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084V0102XPsychiatry & Neurology - Vascular Neurology 289406 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program 26938410 (Pennsylvania)Secondary
2084N0400XPsychiatry & Neurology - Neurology 289406 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maimonides Medical CenterBrooklyn, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mmc Division Of Neurology Fpp610388079418
Maimonides Faculty Practice Plan7012808348195

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. Ainie Soetanto allows following entities to bill medicare on her behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597
Entity NameMmc Division Of Neurology Fpp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497838114
PECOS PAC ID: 6103880794
Enrollment ID: O20041113000270

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. Ainie Soetanto 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
Ainie Soetanto, MD
111 E 210th St,
Bronx, NY 10467-2401

Ph: (718) 920-2625		Ainie Soetanto, MD
111 E 210th St,
Bronx, NY 10467-2401

Ph: (718) 920-2625

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).

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