Dylan Boyd Soderstrum, MD in Charlottesville, VA

Dylan Boyd Soderstrum, MD is a medicare enrolled "Emergency Medicine" physician in Charlottesville, Virginia. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Washington Parish Emergency Physicians Group Llc, St Tammany Emergency Physicians Group Llc, C And M Medical Services Inc and his current practice location is 1215 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 924-8485.

Dylan Boyd Soderstrum is licensed to practice in Louisiana (license number 341002) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720664188.

Contact Information

	Dylan Boyd Soderstrum, MD
	1215 Lee St, Charlottesville, VA 22908-0816
	(434) 924-8485
	(434) 982-4118

Map and Direction

Physician's Profile

Full Name	Dylan Boyd Soderstrum
Gender	Male
Speciality	Emergency Medicine
Experience	4 Years
Location	1215 Lee St, Charlottesville, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dylan Boyd Soderstrum graduated from medical school in 2021

NPI Data:

NPI Number: 1720664188
Provider Enumeration Date: 03/24/2021
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 7315348414
Enrollment ID: I20240930001792

Medical Identifiers

Medical identifiers for Dylan Boyd Soderstrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720664188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	341002 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Tammany Parish Hospital	Covington, LA	Hospital
Our Lady Of The Angels Hospital	Bogalusa, LA	Hospital
St James Parish Hospital	Lutcher, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington Parish Emergency Physicians Group Llc	4284928094	12
St Tammany Emergency Physicians Group Llc	7214255967	44
C And M Medical Services Inc	9436061553	8

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. Dylan Boyd Soderstrum allows following entities to bill medicare on his behalf.

Entity Name	C & M Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093

Entity Name	St Tammany Emergency Physicians Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843

Entity Name	Washington Parish Emergency Physicians Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165

Entity Name	Riverside Emergency Physician Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406

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. Dylan Boyd Soderstrum 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
Dylan Boyd Soderstrum, MD 1215 Lee St, Charlottesville, VA 22908-0816 Ph: (434) 924-8485	Dylan Boyd Soderstrum, MD 1215 Lee St, Charlottesville, VA 22908-0816 Ph: (434) 924-8485

Reviews and Comments

Emergency Medicine Doctors in Charlottesville, VA

Margaret K. Sande, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295
Aaron Frey, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295
Sara M Vecchione, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295
Dr. Ursula Gailliot Koeze, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 459 Locust Ave, Mb 26, Charlottesville, VA 22902 Phone: 434-982-7150 Fax: 434-982-7147
David R. Burt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295
Mairin Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7154
Avery Michienzi, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295

Dylan Boyd Soderstrum, MD - Medicare Emergency Medicine in Charlottesville, VA