Cullen Thomas Soares, MD in Baltimore, MD - Medicare Student in an Organized Health Care Education/Training Program

Cullen Thomas Soares, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. His current practice location is 22 S Greene St Rm N3e09, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 328-6110.

Cullen Thomas Soares is licensed to practice in * (Not Available) (license number ) 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 1346732906.

Contact Information

	Cullen Thomas Soares, MD
	22 S Greene St Rm N3e09, Baltimore, MD 21201-1590
	(410) 328-6110
	Not Available

Map and Direction

Physician's Profile

Full Name	Cullen Thomas Soares
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	22 S Greene St Rm N3e09, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346732906
Provider Enumeration Date: 05/30/2018
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7810242633
Enrollment ID: I20250226002020

Medical Identifiers

Medical identifiers for Cullen Thomas Soares such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346732906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	LP04286 (Rhode Island)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Cullen Thomas Soares allows following entities to bill medicare on his behalf.

Entity Name	Melrosewakefield Healthcare, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841290467 PECOS PAC ID: 8224935838 Enrollment ID: O20040504000734

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. Cullen Thomas Soares 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
Cullen Thomas Soares, MD 22 S Greene St Rm N3e09, Baltimore, MD 21201-1590 Ph: (410) 328-6110	Cullen Thomas Soares, MD 22 S Greene St Rm N3e09, Baltimore, MD 21201-1590 Ph: (410) 328-6110

Cullen Thomas Soares, MD - Medicare Student in an Organized Health Care Education/Training Program in Baltimore, MD