Jason S So, DO | |
350 Peller Rd, Lake Geneva, WI 53147-4543 | |
(262) 245-0221 | |
(262) 249-0633 |
Full Name | Jason S So |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 350 Peller Rd, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508078643 | NPI | - | NPPES |
1508078643 | Other | WI | BCBSWI |
SOJAS | Other | WI | MERCYCARE INSURANCE |
1508078643 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036119919 (Illinois) | Secondary |
207Q00000X | Family Medicine | 63015-21 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Healthcare Plus Corporation | Palatine, IL | Home health agency |
Hands And Heart Home Health, Inc | Wilmette, IL | Home health agency |
Volnik Home Healthcare, Inc | Skokie, IL | Home health agency |
Resilience Home Health Corporation | Aurora, IL | Home health agency |
Virgos Home Health Care, Inc | Skokie, IL | Home health agency |
Mercy Health System Corp | Janesville, WI | Hospital |
Beloit Health System | Beloit, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inr Medical Services Llc | 6305190471 | 2 |
Reliable Visiting Physicians Inc | 6406119247 | 5 |
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Integra Medical Doctors Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700189677 PECOS PAC ID: 9830372192 Enrollment ID: O20110323000749 |
Entity Name | Reliable Visiting Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578064077 PECOS PAC ID: 6406119247 Enrollment ID: O20180410000365 |
Entity Name | Inr Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770065765 PECOS PAC ID: 6305190471 Enrollment ID: O20181109000034 |
Mailing Address | Practice Location Address |
---|---|
Jason S So, DO 350 Peller Rd, Lake Geneva, WI 53147-4543 Ph: (262) 245-0221 | Jason S So, DO 350 Peller Rd, Lake Geneva, WI 53147-4543 Ph: (262) 245-0221 |
Britton W Kolar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 | |
Dr. Austin Frank Bacchus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-4660 | |
Dr. Jaime Quezada, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-249-0221 Fax: 262-249-0633 | |
Gary Myron, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-249-0221 Fax: 262-249-0633 | |
Amar Y. Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7142 | |
Dr. Norbert G Debiase, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-249-0221 |