Ellie Souganidis, MD in Philadelphia, PA - Medicare Emergency Medicine

Ellie Souganidis, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Philadelphia, Pennsylvania. Her current practice location is 3401 Civic Center Blvd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 590-1000.

Ellie Souganidis is licensed to practice in Pennsylvania (license number MD460773) 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 1194160150.

Contact Information

	Ellie Souganidis, MD
	3401 Civic Center Blvd, Philadelphia, PA 19104-4319
	(215) 590-1000
	(215) 590-1415

Map and Direction

Physician's Profile

Full Name	Ellie Souganidis
Gender	Female
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194160150
Provider Enumeration Date: 05/05/2013
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9436420767
Enrollment ID: I20170804002719

Medical Identifiers

Medical identifiers for Ellie Souganidis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194160150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	MD460773 (Pennsylvania)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	MD460773 (Pennsylvania)	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. Ellie Souganidis allows following entities to bill medicare on her behalf.

Entity Name	Childrens Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108

Entity Name	Childrens Anesthesiology Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689779480 PECOS PAC ID: 5799688529 Enrollment ID: O20040324000032

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. Ellie Souganidis 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
Ellie Souganidis, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (267) 425-9300	Ellie Souganidis, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-1000

Reviews and Comments

Emergency Medicine Doctors in Philadelphia, PA

Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
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Ashley Bonsu, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151
Anthony Joseph Nastasi Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, Ground Silverstein Bldg, Philadelphia, PA 19104 Phone: 215-662-6698 Fax: 215-662-3953
Richu Raju, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 W Ontario St, Philadelphia, PA 19140 Phone: 215-707-9837 Fax: 215-707-3494

Ellie Souganidis, MD - Medicare Emergency Medicine in Philadelphia, PA