Tasscia M Williams Souffrant, MD - Medicare Obstetrics/gynecology in Frederick, MD

Tasscia M Williams Souffrant, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Frederick, Maryland. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Health First Medical Group Llc and her current practice location is 61 Thomas Johnson Dr, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 663-6171.

Tasscia M Williams Souffrant is licensed to practice in Florida (license number ME149269) 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 1053694539.

Contact Information

Tasscia M Williams Souffrant, MD
61 Thomas Johnson Dr,
Frederick, MD 21702-4301
(301) 663-6171
(301) 695-4469



Physician's Profile

Full NameTasscia M Williams Souffrant
GenderFemale
SpecialityObstetrics/gynecology
Experience14 Years
Location61 Thomas Johnson Dr, Frederick, Maryland
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:
  • Tasscia M Williams Souffrant graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1053694539
  • Provider Enumeration Date: 09/21/2011
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426274044
  • Enrollment ID: I20211108001114

Medical Identifiers

Medical identifiers for Tasscia M Williams Souffrant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053694539NPI-NPPES
D85692OtherMDSTATE LICENSE
PENDINGMedicaidFL
PENDINGOtherFLMEDICARE HF

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD458253 (Pennsylvania)Secondary
207V00000XObstetrics & Gynecology D85692 (Maryland)Secondary
207V00000XObstetrics & Gynecology ME149269 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holmes Regional Medical CenterMelbourne, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health First Medical Group Llc7416100672713

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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. Tasscia M Williams Souffrant allows following entities to bill medicare on her behalf.
Entity NameHealth First Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750626495
PECOS PAC ID: 7416100672
Enrollment ID: O20130122000135

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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. Tasscia M Williams Souffrant 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
Tasscia M Williams Souffrant, MD
3300 S Fiske Blvd,
Rockledge, FL 32955-4306

Ph: (321) 361-5615
Tasscia M Williams Souffrant, MD
61 Thomas Johnson Dr,
Frederick, MD 21702-4301

Ph: (301) 663-6171

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Obstetrics & Gynecology Doctors in Frederick, MD

Gerardo G Araiza, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 61 Thomas Johnson Dr, Frederick, MD 21702
Phone: 301-663-6171    Fax: 301-695-4469
Dr. Richard Gareth Holz, M.D,
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 174 Thomas Johnson Dr, Suite 204, Frederick, MD 21702
Phone: 301-662-2300    Fax: 301-662-7364
Analeta Njema Peterson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 61 Thomas Johnson Dr, Frederick, MD 21702
Phone: 301-663-6171    Fax: 301-695-4469
Gerrit Schipper, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 61 Thomas Johnson Dr, Frederick, MD 21702
Phone: 301-663-6171    Fax: 301-695-4469
Dr. Edwin T. Chen, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 97 Thomas Johnson Dr, Suite 101, Frederick, MD 21702
Phone: 301-663-4545    Fax: 301-663-1709
Leonard E Bienkowski, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 61 Thomas Johnson Dr, Frederick, MD 21702
Phone: 301-663-6171    Fax: 301-695-4469

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