Dr Jason Ryan Soble, PHD, ABPP is a medicare enrolled "Clinical Neuropsychologist" provider in Chicago, Illinois. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and his current practice location is
912 S Wood St # Mc913, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 996-6217.
Dr Jason Ryan Soble is licensed to practice in Illinois (license number 071.009609) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437578044.
Healthcare Provider's Profile
| Full Name | Dr Jason Ryan Soble |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 912 S Wood St # Mc913, Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jason Ryan Soble graduated from medical school in 2012
NPI Data:
- NPI Number: 1437578044
- Provider Enumeration Date: 04/10/2014
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486912896
- Enrollment ID: I20171212002843
Medical Identifiers
Medical identifiers for Dr Jason Ryan Soble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437578044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 071.009609 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071.009609 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Board Of Trustees Of The University Of Illinois | 3072422716 | 923 |
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. Dr Jason Ryan Soble allows following entities to bill medicare on his behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609822147
PECOS PAC ID: 3072422716
Enrollment ID: O20040128001061 |
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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. Dr Jason Ryan Soble 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 |
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Dr Jason Ryan Soble, PHD, ABPP
University Of Illinois At Chicago-dept. Of Psychiatry, 912 S. Wood Street, Mc 913,
Chicago, IL 60612-4300
Ph: (312) 996-6217 | Dr Jason Ryan Soble, PHD, ABPP
912 S Wood St # Mc913,
Chicago, IL 60612-4300
Ph: (312) 996-6217 |
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