Dr Mark Vincent Sofonio, MD is a medicare enrolled "Plastic Surgery" physician in Rancho Mirage, California. His current practice location is
71885 Highway 111, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at
(760) 341-5555.
Dr Mark Vincent Sofonio is licensed to practice in California (license number G070699) 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 1700868718.
Physician's Profile
Full Name | Dr Mark Vincent Sofonio |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 71885 Highway 111, Rancho Mirage, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700868718
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 07/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072543776
- Enrollment ID: I20050812000443
Medical Identifiers
Medical identifiers for Dr Mark Vincent Sofonio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700868718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | G070699 (California) | Primary |
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 Mark Vincent Sofonio 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 Mark Vincent Sofonio, MD 71885 Highway 111, Rancho Mirage, CA 92270-4446 Ph: (760) 341-5555 | Dr Mark Vincent Sofonio, MD 71885 Highway 111, Rancho Mirage, CA 92270-4446 Ph: (760) 341-5555 |
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