| Mr Brandon Soule, PA-C | |
|
2 Embarcadero Ctr Lbby Level, San Francisco, CA 94111-3823 | |
| (888) 663-6331 | |
| (415) 252-7176 |
| Full Name | Mr Brandon Soule |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 2 Embarcadero Ctr Lbby Level, San Francisco, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689962581 | NPI | - | NPPES |
| QW258 | Other | FL | HFMG MA |
| 10740 | Other | AZ | LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willow Ridge Center | Maynardville, TN | Nursing home |
| Doctors Community Rehabilitation And Patient Care | Lanham, MD | Nursing home |
| Southern Ocean Center | Manahawkin, NJ | Nursing home |
| Franklin Woods Center | Baltimore, MD | Nursing home |
| Mount Olive Center | Mount olive, NC | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitalcare Health Services Pc | 2264961861 | 46 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Mnr Industries, Llc | 7416908843 | 142 |
| Vitalcare Health Services Pc | 2264961861 | 46 |
| Post Acute Specialists Llc | 1951676568 | 180 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Vitalcare Health Services Pc | 2264961861 | 46 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Vitalcare Health Services Pc | 2264961861 | 46 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Lumina Care Medical Nj Llc | 6608305156 | 60 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Vitalcare Health Services Pc | 2264961861 | 46 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Vitalcare Health Services Pc | 2264961861 | 46 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Vitalcare Health Services Pc | 2264961861 | 46 |
| Privia Medical Group, Llc | 4385682061 | 1522 |
| Privia Medical Group, Llc | 4385682061 | 1522 |
| Entity Name | Ivy Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20250115000879 |
| Entity Name | Vitalcare Health Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235954389 PECOS PAC ID: 2264961861 Enrollment ID: O20250811001104 |
| Entity Name | Dr Rebman Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669276689 PECOS PAC ID: 3678087400 Enrollment ID: O20260126000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brandon Soule, PA-C 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: Not Available | Mr Brandon Soule, PA-C 2 Embarcadero Ctr Lbby Level, San Francisco, CA 94111-3823 Ph: (888) 663-6331 |
Tiffany Pong Ross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Parnassus Ave, 3rd Floor, Suite 311, San Francisco, CA 94143 Phone: 415-353-2739 Fax: 415-353-4047 |
Chialin Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Van Ness Ave, San Francisco, CA 94109 Phone: 415-600-1151 Fax: 415-375-4861 |
Laura A Kirk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2380 Sutter St, 3rd Floor, San Francisco, CA 94115 Phone: 415-613-3625 Fax: 415-613-2603 |
Karen Marie Dress, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Embarcadero Ctr Lbby Level, San Francisco, CA 94111 Phone: 888-663-6331 Fax: 415-252-7176 |
Mrs. Julia Alisse Brenta Gellert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Van Ness Ave Fl 3, San Francisco, CA 94109 Phone: 415-600-1000 |
Marla Albert, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Embarcadero Ctr Lbby Level, San Francisco, CA 94111 Phone: 888-663-6331 Fax: 415-252-7176 |
Camila M Aguilar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 333 1st St Ste A, San Francisco, CA 94105 Phone: 888-803-3370 |