Yelena Samofalov, MD - Medicare Pediatrics in Southbridge, MA

Yelena Samofalov, MD is a medicare enrolled "Pediatrics" physician in Southbridge, Massachusetts. Her current practice location is 100 South St Ste 102, Southbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 765-7860.

Yelena Samofalov is licensed to practice in Massachusetts (license number 223642) 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 1780798686.

Contact Information

Yelena Samofalov, MD
100 South St Ste 102,
Southbridge, MA 01550-4051
(508) 765-7860
(508) 765-7861

Map and Direction




Physician's Profile

Full NameYelena Samofalov
GenderFemale
SpecialityPediatrics
Location100 South St Ste 102, Southbridge, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780798686
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 01/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2961411806
  • Enrollment ID: I20181206001085

Medical Identifiers

Medical identifiers for Yelena Samofalov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780798686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 223642 (Massachusetts)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. Yelena Samofalov allows following entities to bill medicare on her behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267
Entity NameHarrington Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346420874
PECOS PAC ID: 2567543689
Enrollment ID: O20080115000505

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. Yelena Samofalov 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
Yelena Samofalov, MD
Po Box 40,
Southbridge, MA 01550-0040

Ph: (508) 909-7799
Yelena Samofalov, MD
100 South St Ste 102,
Southbridge, MA 01550-4051

Ph: (508) 765-7860

Reviews and Comments


Pediatrics Doctors in Southbridge, MA

Dr. Marsha Kay Fearing, MD, MPH, MMSC.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 South St, Ste 102, Southbridge, MA 01550
Phone: 508-765-7860    Fax: 508-765-7861
Robert J Giordano, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 100 South St, Suite 205, Southbridge, MA 01550
Phone: 508-765-0934    Fax: 508-765-0013
Ms. Cynthia Mae Wilson Grillo, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 South St, Suite 102, Southbridge, MA 01550
Phone: 508-764-3194    Fax: 508-765-5458
Dr. Anu Radha Pathak, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 85 South St, Southbridge, MA 01550
Phone: 508-765-2700    Fax: 508-764-2563
Diana Rabkina, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 South St, Suite 102, Southbridge, MA 01550
Phone: 508-765-7860    Fax: 508-765-7861
Dr. Pamela Anne Wilson, D.O. FACOP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 100 South St, Medical Arts Building, Ste 207, Southbridge, MA 01550
Phone: 508-765-9700    Fax: 508-765-9704

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).

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