Soe San, FNP-C in Bremen, IN - Medicare Nurse Practitioner

Soe San, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bremen, Indiana. Her current practice location is 710 W Dewey St, Bremen, In, Bremen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 301-4351.

Soe San is licensed to practice in Indiana (license number F11230599) 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 1851152532.

Contact Information

	Soe San, FNP-C
	710 W Dewey St, Bremen, In, Bremen, IN 46226-1466
	(574) 301-4351
	Not Available

Map and Direction

Provider's Profile

Full Name	Soe San
Gender	Female
Speciality	Nurse Practitioner - Family
Location	710 W Dewey St, Bremen, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851152532
Provider Enumeration Date: 01/19/2024
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 0042663312
Enrollment ID: I20240202001145

Medical Identifiers

Medical identifiers for Soe San such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851152532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F11230599 (Indiana)	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. Soe San allows following entities to bill medicare on her behalf.

Entity Name	Children Express Care Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922614965 PECOS PAC ID: 5799196366 Enrollment ID: O20201203000841

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. Soe San 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
Soe San, FNP-C 1738 Hobson Rd, Fort Wayne, IN 46805-4882 Ph: (260) 418-2909	Soe San, FNP-C 710 W Dewey St, Bremen, In, Bremen, IN 46226-1466 Ph: (574) 301-4351

Reviews and Comments

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Mrs. Lensa Gideon Girsha, BSN, MS, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-3730
Kimberly Kay Dietrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 S Whitlock St, Bremen, IN 46506 Phone: 574-546-0330
Sharlotte Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 W Plymouth St, Bremen, IN 46506 Phone: 574-546-5363 Fax: 574-546-2575
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Soe San, FNP-C - Medicare Nurse Practitioner in Bremen, IN