Dr Sophie Toya, MD - Medicare Internal Medicine in Saginaw, MI

Dr Sophie Toya, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Saginaw, Michigan. Her current practice location is 125 N Colony Dr, Saginaw, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 583-7380.

Dr Sophie Toya is licensed to practice in Michigan (license number 4301111559) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225367147.

Contact Information

Dr Sophie Toya, MD
125 N Colony Dr,
Saginaw, MI 48638-7101
(989) 583-7380
(989) 753-2198

Map and Direction




Physician's Profile

Full NameDr Sophie Toya
GenderFemale
SpecialityInternal Medicine - Pulmonary Disease
Location125 N Colony Dr, Saginaw, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225367147
  • Provider Enumeration Date: 12/24/2009
  • Last Update Date: 06/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668596016
  • Enrollment ID: I20121017000180

Medical Identifiers

Medical identifiers for Dr Sophie Toya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225367147NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01071517A (Indiana)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 036.108537 (Illinois)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 036.108537 (Illinois)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 4301111559 (Michigan)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 Sophie Toya allows following entities to bill medicare on her behalf.
Entity NameApogee Medical Group Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093973885
PECOS PAC ID: 8729155742
Enrollment ID: O20080917000320
Entity NameNorthwest Hospitalist Physicians, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023448321
PECOS PAC ID: 0244397693
Enrollment ID: O20140205000078

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 Sophie Toya 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 Sophie Toya, MD
1447 N Harrison St,
Saginaw, MI 48602-4727

Ph: (989) 583-4114
Dr Sophie Toya, MD
125 N Colony Dr,
Saginaw, MI 48638-7101

Ph: (989) 583-7380

Reviews and Comments


Internal Medicine Doctors in Saginaw, MI

Jerry Xavier,
Pulmonary Disease
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Practice Location: 1000 Houghton Ave, 1100 Internal Medicine, Saginaw, MI 48602
Phone: 989-583-5826    
Ray Peter Mangulabnan, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3170 Hallmark Ct, Saginaw, MI 48603
Phone: 989-790-1275    Fax: 989-249-4199
Shafia Beg, M.D.
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Practice Location: 1000 Houghton Ave, Saginaw, MI 48602
Phone: 989-583-6800    
Dr. Natasa Petreska, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1000 Houghton Ave, Saginaw, MI 48602
Phone: 989-746-7500    
Dr. Manoj Sharma, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4884 Berl Dr, Saginaw, MI 48604
Phone: 989-497-9395    Fax: 989-497-9599
Minoo Khetarpal, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1320 N Michigan Ave, Suite 4, Saginaw, MI 48602
Phone: 989-755-5500    Fax: 989-755-7860
Christine I Rohr, D.O.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Houghton Ave, Saginaw, MI 48602
Phone: 989-583-6800    Fax: 989-583-6915

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.