Jeffrey Calderon Soto Sr, LPC - Medicare Counselor in Sandpoint, ID

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Jeffrey Calderon Soto Sr, LPC is a medicare enrolled "Counselor - Mental Health" provider in Sandpoint, Idaho. His current practice location is 1033 Baldy Mountain Rd, Sandpoint, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 290-5151.

Jeffrey Calderon Soto Sr is licensed to practice in Idaho (license number 3171665) 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 1912790080.

Contact Information

Jeffrey Calderon Soto Sr, LPC
1033 Baldy Mountain Rd,
Sandpoint, ID 83864-9202
(208) 290-5151
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJeffrey Calderon Soto Sr
GenderMale
SpecialityCounselor - Mental Health
Location1033 Baldy Mountain Rd, Sandpoint, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912790080
  • Provider Enumeration Date: 05/22/2025
  • Last Update Date: 05/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204348014
  • Enrollment ID: I20250625003726

Medical Identifiers

Medical identifiers for Jeffrey Calderon Soto Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912790080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 3171665 (Idaho)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. Jeffrey Calderon Soto Sr allows following entities to bill medicare on his behalf.
Entity NameBoundary Regional Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538447727
PECOS PAC ID: 2264341221
Enrollment ID: O20050211000195

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. Jeffrey Calderon Soto Sr 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
Jeffrey Calderon Soto Sr, LPC
2416 Sand Creek Ln Apt A,
Sandpoint, ID 83864-8934

Ph: (208) 290-4145		Jeffrey Calderon Soto Sr, LPC
1033 Baldy Mountain Rd,
Sandpoint, ID 83864-9202

Ph: (208) 290-5151

Reviews and Comments


Counselor in Sandpoint, ID

Ms. Krista N Haller, M.A.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 212 N 1st Ave Ste 203, Sandpoint, ID 83864
Phone: 208-946-5242    
Erin Kathleen Gray, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 801 Pine St Ste 2, Sandpoint, ID 83864
Phone: 208-263-7716    Fax: 208-263-7719
Jason Munzke, L.C.P.C.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 513 N 4th Ave, Sandpoint, ID 83864
Phone: 208-255-6803    Fax: 208-263-0951
Mary Mikell Zimmerman, M.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 804 Airport Way, Bonner Business Center, Sandpoint, ID 83864
Phone: 208-597-3553    
Mrs. Catherine Perusse, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1717 Ontario St, Sandpoint, ID 83864
Phone: 208-265-6798    Fax: 208-263-8160
Mrs. Julie Ann Brusaw, MA LCPC LMFT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1035 Baldy Mountain Rd, Sandpoint, ID 83864
Phone: 208-255-9277    Fax: 208-255-1254
Jarae Swanstrom, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1224 Washington Ave Ste 206, Sandpoint, ID 83864
Phone: 208-684-0512    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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