Jonathan So, MD, PHD in New York, NY

Jonathan So, MD, PHD is a medicare enrolled "Radiology - Radiation Oncology" physician in New York, New York. His current practice location is 560 1st Ave Fl 2, New York, New York. You can reach out to his office (for appointments etc.) via phone at (617) 874-6858.

Jonathan So is licensed to practice in New York (license number 0000) 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 1447023452.

Contact Information

	Jonathan So, MD, PHD
	560 1st Ave Fl 2, New York, NY 10016-6402
	(617) 874-6858
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan So
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	560 1st Ave Fl 2, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447023452
Provider Enumeration Date: 11/01/2023
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8628428398
Enrollment ID: I20231220002960

Medical Identifiers

Medical identifiers for Jonathan So such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447023452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	0000 (New York)	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. Jonathan So allows following entities to bill medicare on his behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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. Jonathan So 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
Jonathan So, MD, PHD 4535 11th St # Gd, Long Island City, NY 11101-5205 Ph: (617) 874-6858	Jonathan So, MD, PHD 560 1st Ave Fl 2, New York, NY 10016-6402 Ph: (617) 874-6858

Reviews and Comments

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Jonathan So, MD, PHD - Medicare Radiology in New York, NY