Dr Jeffrey Tyler Soderman, MD in Beverly, MA - Medicare Emergency Medicine

Dr Jeffrey Tyler Soderman, MD is a medicare enrolled "Emergency Medicine" physician in Beverly, Massachusetts. His current practice location is 85 Herrick St, Beverly, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 922-3000.

Dr Jeffrey Tyler Soderman is licensed to practice in Massachusetts (license number 221440) 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 1841221082.

Contact Information

	Dr Jeffrey Tyler Soderman, MD
	85 Herrick St, Beverly, MA 01915-1790
	(978) 922-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey Tyler Soderman
Gender	Male
Speciality	Emergency Medicine
Location	85 Herrick St, Beverly, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841221082
Provider Enumeration Date: 07/05/2006
Last Update Date: 03/26/2015

Medicare PECOS Information:

PECOS PAC ID: 7315061272
Enrollment ID: I20100830000046

Medical Identifiers

Medical identifiers for Dr Jeffrey Tyler Soderman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841221082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	221440 (Massachusetts)	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 Jeffrey Tyler Soderman allows following entities to bill medicare on his behalf.

Entity Name	Northeast Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316917941 PECOS PAC ID: 1153213202 Enrollment ID: O20040721000148

Entity Name	Northeast Medical Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265

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 Jeffrey Tyler Soderman 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
Dr Jeffrey Tyler Soderman, MD 85 Herrick St, Beverly, MA 01915-1790 Ph: (978) 922-3000	Dr Jeffrey Tyler Soderman, MD 85 Herrick St, Beverly, MA 01915-1790 Ph: (978) 922-3000

Reviews and Comments

Emergency Medicine Doctors in Beverly, MA

Donald A Pasquarello, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000
Dr. Deborah Lynne Korik, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly Hospital, Beverly, MA 01915 Phone: 978-922-3000
Stephen Andrew Schillinger, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly Hospital Emergency Department, Beverly, MA 01915 Phone: 978-922-3000
Stephen V Friedman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Giddings Ave, Beverly, MA 01915 Phone: 978-927-5777
Dr. Kirsten Amanda Malsnee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly Hospital, Emergency Department, Beverly, MA 01915 Phone: 978-922-3000
Dr. Kyan Berger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000
Dr. Bradley Louis Demeter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000 Fax: 978-524-6028

Dr Jeffrey Tyler Soderman, MD - Medicare Emergency Medicine in Beverly, MA