| Jillian Marie Soto, MD | |
|
1120 15th Street, Augusta, GA 30912 | |
| (706) 721-3157 | |
| Not Available |
| Full Name | Jillian Marie Soto |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 1120 15th Street, Augusta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912499286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME154910 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 009959 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Lake Wales | Lake wales, FL | Hospital |
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services Of Florida Pa | 7012201965 | 173 |
| Lake Wales Physician Services, Llc | 8426390964 | 20 |
| Entity Name | Hospital Physician Services Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
| Entity Name | Lake Wales Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164902797 PECOS PAC ID: 8426390964 Enrollment ID: O20190502000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Marie Soto, MD 1120 15th Street, Augusta, GA 30912 Ph: () - | Jillian Marie Soto, MD 1120 15th Street, Augusta, GA 30912 Ph: (706) 721-3157 |
Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157 | |
Janis S. Coffin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264 | |
Dr. Thomas Christopher Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 | |
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899 | |
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601 | |
Shahed Anam Ibn Faruk, Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Mark David Beckman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157 |