Mardon Ellen So, in Grand Marais, MN - Medicare Physical Therapist In Private Practice Provider

Mardon Ellen So, is a medicare enrolled "Physical Therapist" provider in Grand Marais, Minnesota. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Multicare Health System and her current practice location is 515 5th Ave W, Grand Marais, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 387-3040.

Mardon Ellen So is licensed to practice in Minnesota (license number 13275) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063238095.

Contact Information

	Mardon Ellen So,
	515 5th Ave W, Grand Marais, MN 55604-3017
	(218) 387-3040
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mardon Ellen So
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	3 Years
Location	515 5th Ave W, Grand Marais, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mardon Ellen So graduated from medical school in 2023

NPI Data:

NPI Number: 1063238095
Provider Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6608396304
Enrollment ID: I20250225002913

Medical Identifiers

Medical identifiers for Mardon Ellen So such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063238095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13275 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Multicare Health System	7719899897	1815

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. Mardon Ellen So allows following entities to bill medicare on her behalf.

Provider Name	Multicare Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

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. Mardon Ellen So 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
Mardon Ellen So, 515 5th Ave W, Grand Marais, MN 55604-3017 Ph: (218) 387-3040	Mardon Ellen So, 515 5th Ave W, Grand Marais, MN 55604-3017 Ph: (218) 387-3040

Reviews and Comments

Physical Therapist in Grand Marais, MN

Elizabeth Barbara Steckelberg, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 6th Ave. W, Grand Marais, MN 55604 Phone: 218-370-2292
Ms. Rebecca Sue Stoner, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 W Highway 61 Ste 130, Grand Marais, MN 55604 Phone: 218-387-9494 Fax: 218-387-3584
Kelsey Saladin Oneil, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 W 5th St, Grand Marais, MN 55604 Phone: 218-387-3276

Mardon Ellen So, - Medicare Physical Therapist in Grand Marais, MN