Jon Sole, MD MSC is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Palo Alto, California. His current practice location is
401 Quarry Rd, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at
(650) 725-5991.
Jon Sole is licensed to practice in * (Not Available) (license number ) 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 1619505153.
Physician's Profile
Full Name | Jon Sole |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 401 Quarry Rd, Palo Alto, 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: 1619505153
- Provider Enumeration Date: 03/30/2020
- Last Update Date: 08/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032551692
- Enrollment ID: I20240528002868
Medical Identifiers
Medical identifiers for Jon Sole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619505153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | A185032 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jon Sole allows following entities to bill medicare on his behalf.
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
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Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
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Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Other Medical Care Group |
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Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
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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. Jon Sole 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 |
Jon Sole, MD MSC 401 Quarry Rd, Palo Alto, CA 94304-1419 Ph: (650) 498-9111 | Jon Sole, MD MSC 401 Quarry Rd, Palo Alto, CA 94304-1419 Ph: (650) 725-5991 |
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