Jacob Benjamin Soled, RN in Santa Rosa, CA - Medicare Nurse Practitioner

Jacob Benjamin Soled, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Rosa, California. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice County Of Sonoma and his current practice location is 2235 Challenger Way, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 565-4900.

Jacob Benjamin Soled is licensed to practice in California (license number 95026966) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326693326.

Contact Information

	Jacob Benjamin Soled, RN
	2235 Challenger Way, Santa Rosa, CA 95407-5458
	(707) 565-4900
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Benjamin Soled
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	2235 Challenger Way, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Benjamin Soled graduated from nursing school in 2023

NPI Data:

NPI Number: 1326693326
Provider Enumeration Date: 08/06/2019
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8123566734
Enrollment ID: I20240814001922

Medical Identifiers

Medical identifiers for Jacob Benjamin Soled such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326693326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN95171379 (California)	Secondary
163W00000X	Registered Nurse	283910 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95026966 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Sonoma	4688658651	29

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. Jacob Benjamin Soled allows following entities to bill medicare on his behalf.

Entity Name	County Of Sonoma
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952637027 PECOS PAC ID: 4688658651 Enrollment ID: O20040616001152

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. Jacob Benjamin Soled 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
Jacob Benjamin Soled, RN 5554 Thomas Rd, Sebastopol, CA 95472-9377 Ph: (513) 509-5720	Jacob Benjamin Soled, RN 2235 Challenger Way, Santa Rosa, CA 95407-5458 Ph: (707) 565-4900

Reviews and Comments

Nurse Practitioner Nurses in Santa Rosa, CA

Peggy Walsh Goebel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404 Phone: 707-585-7780 Fax: 707-585-7784
Sophia Rose Wuest, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 Lombardi Ct, Santa Rosa, CA 95407 Phone: 707-303-3600
Julie Barlow, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Concourse Blvd, Santa Rosa, CA 95403 Phone: 844-527-7369 Fax: 844-847-4943
Suzanne Watts Dedmore, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600
Amada Ligia Gomez, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404 Phone: 786-385-4492
Genesis Callejas-mir, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445
Felipa Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 Phone: 707-570-1130 Fax: 707-571-2478

Jacob Benjamin Soled, RN - Medicare Nurse Practitioner in Santa Rosa, CA