| David J Soll, MD | |
|
395 Hospital Blvd, Jackson, TN 38305-2080 | |
| (731) 660-3344 | |
| (731) 660-3347 |
| Full Name | David J Soll |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 36 Years |
| Location | 395 Hospital Blvd, Jackson, Tennessee |
| 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 |
|---|---|---|---|
| 1083601199 | NPI | - | NPPES |
| 4050211 | Other | TN | BCBS OF TN |
| 4609436 | Other | TN | CIGNA |
| 3880342 | Medicaid | TN | |
| 5835646 | Other | TN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 37015 (Tennessee) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 69678 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Colorado Medical Center | Greeley, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Health Physicians Colorado Llc | 8921273038 | 267 |
| Entity Name | North Colorado Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083642680 PECOS PAC ID: 0941282271 Enrollment ID: O20040602000221 |
| Entity Name | Banner Health Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Soll, MD 257 Bancorp South Pkwy, Jackson, TN 38305-7582 Ph: () - | David J Soll, MD 395 Hospital Blvd, Jackson, TN 38305-2080 Ph: (731) 660-3344 |
Dr. Molly Rheney, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 244 Coatsland Dr, Jackson, TN 38301 Phone: 731-422-4642 Fax: 731-422-2277 | |
Dr. Andrea Marshall Harper, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 244 Coatsland Dr, Jackson, TN 38301 Phone: 731-422-4642 Fax: 731-422-2277 | |
John J Ball, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 379 Hospital Blvd, Jackson, TN 38305 Phone: 731-660-3344 Fax: 731-660-3347 | |
Mrs. Leila Keel Nichols, CNM Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-660-8300 Fax: 731-660-8301 | |
Ruth Elaine Baker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-410-0367 | |
Ryan Allen Roy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 244 Coatsland Dr, Jackson, TN 38301 Phone: 731-422-4642 Fax: 731-422-2277 |