Dr Soji Mathew Varghese, MBBS - Medicare Pediatrics in Salisbury, MD

Dr Soji Mathew Varghese, MBBS is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Salisbury, Maryland. His current practice location is 100 E Carroll St, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at (914) 733-2662.

Dr Soji Mathew Varghese is licensed to practice in District Of Columbia (license number MD044833) 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 1346503240.

Contact Information

Dr Soji Mathew Varghese, MBBS
100 E Carroll St,
Salisbury, MD 21801-5493
(914) 733-2662
Not Available

Map and Direction




Physician's Profile

Full NameDr Soji Mathew Varghese
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location100 E Carroll St, Salisbury, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346503240
  • Provider Enumeration Date: 06/17/2012
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2860793890
  • Enrollment ID: I20240109000815

Medical Identifiers

Medical identifiers for Dr Soji Mathew Varghese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346503240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine MD475704 (Pennsylvania)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine MD044833 (District Of Columbia)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 Soji Mathew Varghese allows following entities to bill medicare on his behalf.
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180

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 Soji Mathew Varghese 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 Soji Mathew Varghese, MBBS
100 E Carroll St,
Salisbury, MD 21801-5493

Ph: (914) 733-2662
Dr Soji Mathew Varghese, MBBS
100 E Carroll St,
Salisbury, MD 21801-5493

Ph: (914) 733-2662

Reviews and Comments


Pediatrics Doctors in Salisbury, MD

Kimberly Cuomo, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 100 E Carroll Street, Salisbury, MD 21801
Phone: 410-543-7536    Fax: 410-543-7272
William Clifford Taylor, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 106 Milford St. Ste 201, Salisbury, MD 21804
Phone: 410-543-1952    Fax: 410-543-8497
Gul Ghutai Manalai, M.D
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Medicare: Medicare Enrolled
Practice Location: 106 Pine Bluff Rd, #11, Salisbury, MD 21801
Phone: 410-742-2255    Fax: 470-742-2589
Andras Kovacs, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 106 Milford St. Ste 201, Salisbury, MD 21804
Phone: 410-543-1616    Fax: 410-543-8497
Jennifer Lynn Wehberg, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1415 Wesley Dr, Salisbury, MD 21801
Phone: 410-912-7000    Fax: 410-912-4202
Dr. Stephen Michael Cooper, MD
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Medicare: Medicare Enrolled
Practice Location: 223 Phillip Morris Dr, Salisbury, MD 21804
Phone: 410-548-1747    Fax: 410-548-3783
Mohan Kumar Thummalapalli, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 106 Milford St Ste 201, Salisbury, MD 21804
Phone: 410-543-1616    Fax: 410-543-8497

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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