Margarita Sotelo, MD - Medicare Internal Medicine in Modesto, CA

Margarita Sotelo, MD is a medicare enrolled "Internal Medicine" physician in Modesto, California. Her current practice location is 1441 Florida Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 576-3525.

Margarita Sotelo is licensed to practice in California (license number A66456) 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 1063579324.

Contact Information

Margarita Sotelo, MD
1441 Florida Ave,
Modesto, CA 95350-4405
(209) 576-3525
(209) 576-3544

Map and Direction




Physician's Profile

Full NameMargarita Sotelo
GenderFemale
SpecialityInternal Medicine
Location1441 Florida Ave, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063579324
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739087479
  • Enrollment ID: I20031219000485

Medical Identifiers

Medical identifiers for Margarita Sotelo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063579324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A66456 (California)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. Margarita Sotelo allows following entities to bill medicare on her behalf.
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154396208
PECOS PAC ID: 5496668410
Enrollment ID: O20031113000632

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. Margarita Sotelo 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
Margarita Sotelo, MD
4250 El Camino Real,
Palo Alto, CA 94306-4406

Ph: (165) 038-7476
Margarita Sotelo, MD
1441 Florida Ave,
Modesto, CA 95350-4405

Ph: (209) 576-3525

Reviews and Comments


Internal Medicine Doctors in Modesto, CA

Brian E. Dolnick, DO
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Dr. Joshua Mckee Anderson, M.D.
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Alvin K Eng, MD
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Practice Location: 1540 Florida Ave, # 100, Modesto, CA 95350
Phone: 209-577-5557    Fax: 209-577-8125
Esra Olgun, MD
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Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-521-6097    
Ronak Chandrakant Shah, M.D.
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Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-521-6097    
Dr. Paul Golden, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1330 Nelson Ave, Suite C, Modesto, CA 95350
Phone: 209-576-1547    Fax: 209-576-2736

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.