Soumathy C Prosper, MD - Medicare Obstetrics/gynecology in Elk River, MN

Soumathy C Prosper, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Elk River, Minnesota. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Centracare Clinic, Healthpartners Medical Group and her current practice location is 530 3rd St Nw - Mail Stop 39400a, Riverway Clinic - Elk River, Elk River, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 587-4800.

Soumathy C Prosper is licensed to practice in Minnesota (license number 103102) 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 1629271671.

Contact Information

Soumathy C Prosper, MD
530 3rd St Nw - Mail Stop 39400a, Riverway Clinic - Elk River,
Elk River, MN 55330-8863
(763) 587-4800
(763) 587-4885



Physician's Profile

Full NameSoumathy C Prosper
GenderFemale
SpecialityObstetrics/gynecology
Experience31 Years
Location530 3rd St Nw - Mail Stop 39400a, Elk River, Minnesota
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:
  • Soumathy C Prosper graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1629271671
  • Provider Enumeration Date: 06/07/2007
  • Last Update Date: 12/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0143315630
  • Enrollment ID: I20070928000070

Medical Identifiers

Medical identifiers for Soumathy C Prosper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629271671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 103102 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395632
Healthpartners Medical Group17592939541430

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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. Soumathy C Prosper allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293

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Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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Entity NameNorth Memorial Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470

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Entity NameStillwater Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558350488
PECOS PAC ID: 9436104510
Enrollment ID: O20050322000615

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Entity NameCarris Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598236408
PECOS PAC ID: 7012274228
Enrollment ID: O20190503001162

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Entity NameCentracare Clinic Southwest Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174106264
PECOS PAC ID: 8426457946
Enrollment ID: O20210602002802

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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. Soumathy C Prosper 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
Soumathy C Prosper, MD
8170 33rd Ave S, Ms21110q,
Minneapolis, MN 55425-4516

Ph: (952) 883-5375
Soumathy C Prosper, MD
530 3rd St Nw - Mail Stop 39400a, Riverway Clinic - Elk River,
Elk River, MN 55330-8863

Ph: (763) 587-4800

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› Verified 6 days ago


Obstetrics & Gynecology Doctors in Elk River, MN

Charles William Lais, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330
Phone: 763-712-6000    Fax: 763-712-6591
Arthur James Shold, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 530 3 St Nw, Mail Stop 39400a, Elk River, MN 55330
Phone: 763-712-6000    Fax: 763-712-6591
Dr. Georgina Marie Greil, D.O
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 290 Main St Nw, Suite 100, Elk River, MN 55330
Phone: 763-241-0373    
Chi-chi Nwasinachukwu Phina Ayika, MBBS
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330
Phone: 763-712-6000    Fax: 763-712-6591
Michelle Monson, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 290 Main St Nw Ste 100, Elk River, MN 55330
Phone: 763-241-0373    

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