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

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Mardon Ellen So, is a medicare enrolled "Physical Therapist" provider in Grand Marais, Minnesota. 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 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 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 NameMardon Ellen So
GenderFemale
SpecialityPhysical Therapist
Location515 5th Ave W, Grand Marais, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1063238095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 13275 (Minnesota)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. Mardon Ellen So allows following entities to bill medicare on her behalf.
Provider NameMulticare Health System
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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

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.