Kelsey Soppet, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albuquerque, New Mexico. Her current practice location is
Msc10 5590 1 University Of New Mexico, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 272-2345.
Kelsey Soppet is licensed to practice in New Mexico (license number DO2023-1021) 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 1396374484.
Physician's Profile
| Full Name | Kelsey Soppet |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Msc10 5590 1 University Of New Mexico, Albuquerque, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396374484
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 06/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537586102
- Enrollment ID: I20230823001008
Medical Identifiers
Medical identifiers for Kelsey Soppet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396374484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | DO2023-1021 (New Mexico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DO2023-1021 (New Mexico) | 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. Kelsey Soppet allows following entities to bill medicare on her behalf.
| Entity Name | Presbyterian Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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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. Kelsey Soppet 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 |
Kelsey Soppet, Msc10 5590 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: (505) 272-2345 | Kelsey Soppet, Msc10 5590 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: (505) 272-2345 |
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