Jalal Soltanian-zadeh, DO is a medicare enrolled "Family Medicine" physician in Ione, California. His current practice location is
4001 Highway 104, Ione, California. You can reach out to his office (for appointments etc.) via phone at
(209) 274-4911.
Jalal Soltanian-zadeh is licensed to practice in California (license number 20A9130) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962554196.
Physician's Profile
Full Name | Jalal Soltanian-zadeh |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 4001 Highway 104, Ione, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962554196
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 10/05/2011
Medicare PECOS Information:
- PECOS PAC ID: 5395847701
- Enrollment ID: I20070302000220
Medical Identifiers
Medical identifiers for Jalal Soltanian-zadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962554196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 20A9130 (California) | 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. Jalal Soltanian-zadeh allows following entities to bill medicare on his behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Jalal Soltanian-zadeh 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 |
Jalal Soltanian-zadeh, DO Po Box 1210, Folsom, CA 95763-1210 Ph: (805) 258-3963 | Jalal Soltanian-zadeh, DO 4001 Highway 104, Ione, CA 95640 Ph: (209) 274-4911 |
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