Coralli R So, MD - Medicare Diagnostic Radiology in Melrose, MA

Coralli R So, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Melrose, Massachusetts. She went to Boston University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Mw Radiology-cra Llc, Merrimack Radiology-cra Llc and her current practice location is 585 Lebanon St, Radiology Department, Melrose, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 979-3120.

Coralli R So is licensed to practice in Massachusetts (license number 152261) 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 1801830153.

Contact Information

Coralli R So, MD
585 Lebanon St, Radiology Department,
Melrose, MA 02176-3225
(781) 979-3120
(781) 979-3994



Physician's Profile

Full NameCoralli R So
GenderFemale
SpecialityDiagnostic Radiology
Experience31 Years
Location585 Lebanon St, Melrose, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Coralli R So attended and graduated from Boston University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1801830153
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 07/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4587665377
  • Enrollment ID: I20101201000380

Medical Identifiers

Medical identifiers for Coralli R So such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801830153NPI-NPPES
0196321MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 152261 (Massachusetts)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 152261 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Melrosewakefield HealthcareMelrose, MAHospital
Lowell General HospitalLowell, MAHospital
Tufts Medical CenterBoston, MAHospital
North Shore Medical Center -Salem, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mw Radiology-cra Llc640627004043
Merrimack Radiology-cra Llc842628726955

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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. Coralli R So allows following entities to bill medicare on her behalf.
Entity NameHallmark Imaging Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316059082
PECOS PAC ID: 8729021233
Enrollment ID: O20050606001018

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Entity NameCommonwealth Radiology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295711661
PECOS PAC ID: 2668468406
Enrollment ID: O20081210000048

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Entity NameMerrimack Radiology-cra Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275871154
PECOS PAC ID: 8426287269
Enrollment ID: O20140128000095

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Entity NameMw Radiology-cra Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114555398
PECOS PAC ID: 6406270040
Enrollment ID: O20200716000148

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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. Coralli R 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
Coralli R So, MD
244 W Newton St, Apartment #3,
Boston, MA 02116-6405

Ph: (781) 979-3120
Coralli R So, MD
585 Lebanon St, Radiology Department,
Melrose, MA 02176-3225

Ph: (781) 979-3120

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Radiology Doctors in Melrose, MA

Joshua P Stein, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 585 Lebanon St, Hallmark Imaging, Melrose, MA 02176
Phone: 781-979-3117    Fax: 781-979-3994
Nam Lee,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Oak Grove Ave, 132, Melrose, MA 02176
Phone: 781-620-1810    
Karl Eric Henrikson, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 585 Lebanon St, Radiology Department, Melrose, MA 02176
Phone: 781-979-3120    Fax: 781-979-3994
Windy Kristen Matich, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 585 Lebanon St, Melrose, MA 02176
Phone: 724-984-8574    
Olga Efimova, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 585 Lebanon St, Radiology Department, Melrose, MA 02176
Phone: 781-979-3120    Fax: 781-979-3994
Patrick D Oder, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 585 Lebanon St, Radiology Department, Melrose, MA 02176
Phone: 781-979-3120    Fax: 781-979-3994

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