| 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 | 21 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 |
|---|---|---|
| Hands And Heart Home Health, Inc | Wilmette, IL | Home health agency |
| 2 Sisters Home Healthcare Inc | Rockford, IL | Home health agency |
| Vision Home Health Care, Inc | Mount prospect, IL | Home health agency |
| Mercyhealth At Home | Janesville, WI | Home health agency |
| Mercy Health System Corp | Janesville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reliable Visiting Physicians Inc | 6406119247 | 4 |
| Mercy Health System Corporation | 7416860440 | 564 |
| 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 |
| 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 |