Dr Luis Fernando Soto Iii, MD - Medicare Internal Medicine in Westerville, OH

Dr Luis Fernando Soto Iii, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Westerville, Ohio. His current practice location is 595 Copeland Mill Rd Ste 2d, Westerville, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 823-8500.

Dr Luis Fernando Soto Iii is licensed to practice in Ohio (license number 35.148663) 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 1992292718.

Contact Information

Dr Luis Fernando Soto Iii, MD
595 Copeland Mill Rd Ste 2d,
Westerville, OH 43081-8908
(614) 823-8500
Not Available

Map and Direction




Physician's Profile

Full NameDr Luis Fernando Soto Iii
GenderMale
SpecialityInternal Medicine - Nephrology
Location595 Copeland Mill Rd Ste 2d, Westerville, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992292718
  • Provider Enumeration Date: 04/17/2018
  • Last Update Date: 07/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092177006
  • Enrollment ID: I20230808001869

Medical Identifiers

Medical identifiers for Dr Luis Fernando Soto Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992292718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 35.148663 (Ohio)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 Luis Fernando Soto Iii allows following entities to bill medicare on his behalf.
Entity NameKidney Specialists, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124038963
PECOS PAC ID: 7719871474
Enrollment ID: O20040212000294

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 Luis Fernando Soto Iii 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 Luis Fernando Soto Iii, MD
595 Copeland Mill Rd Ste 2d,
Westerville, OH 43081-8908

Ph: () -
Dr Luis Fernando Soto Iii, MD
595 Copeland Mill Rd Ste 2d,
Westerville, OH 43081-8908

Ph: (614) 823-8500

Reviews and Comments


Internal Medicine Doctors in Westerville, OH

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Scott W Johnson, M.D.
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Phone: 614-533-3475    Fax: 614-533-3480
John B Krupko, MD
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Phone: 614-891-8080    Fax: 614-891-7078
Michael J Dial, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 6100 N Hamilton Rd, Westerville, OH 43081
Phone: 614-814-8490    Fax: 614-814-8520

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.