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

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Dylan Boyd Soderstrum, MD is a medicare enrolled "Emergency Medicine" physician in Charlottesville, Virginia. 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 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 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 NameDylan Boyd Soderstrum
GenderMale
SpecialityEmergency Medicine
Location1215 Lee St, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1720664188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 341002 (Louisiana)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. Dylan Boyd Soderstrum allows following entities to bill medicare on his behalf.
Entity NameC & M Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710903059
PECOS PAC ID: 9436061553
Enrollment ID: O20050121000093
Entity NameSt Tammany Emergency Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891187654
PECOS PAC ID: 7214255967
Enrollment ID: O20150409001843
Entity NameWashington Parish Emergency Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538511043
PECOS PAC ID: 4284928094
Enrollment ID: O20160802001165
Entity NameRiverside Emergency Physician Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2231    Fax: 434-924-9295
Dr. Ursula Gailliot Koeze, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
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: Medicare Enrolled
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

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.