Mrs Samantha Soto, APRN is a medicare enrolled "Nurse Practitioner" physician in Savannah, Georgia. Her current practice location is
6413 Waters Ave Ste 102, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 349-6624.
Mrs Samantha Soto is licensed to practice in Georgia (license number RN315630) 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 1861117129.
Physician's Profile
Full Name | Mrs Samantha Soto |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 6413 Waters Ave Ste 102, Savannah, Georgia |
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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: 1861117129
- Provider Enumeration Date: 10/10/2022
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234678681
- Enrollment ID: I20240829000211
Medical Identifiers
Medical identifiers for Mrs Samantha Soto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861117129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | RN315630 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN315630 (Georgia) | 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. Mrs Samantha Soto allows following entities to bill medicare on her behalf.
Entity Name | Internal Medicine Of Savannah, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346514114 PECOS PAC ID: 2466614425 Enrollment ID: O20120509000061 |
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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. Mrs Samantha Soto 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 |
Mrs Samantha Soto, APRN 128 Nandina Way, Pooler, GA 31322-4074 Ph: (239) 784-7952 | Mrs Samantha Soto, APRN 6413 Waters Ave Ste 102, Savannah, GA 31406-2711 Ph: (912) 349-6624 |
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