Dr Jonathan K Gottlieb, MD in Glendale, CA - Medicare Emergency Medicine

Dr Jonathan K Gottlieb, MD is a medicare enrolled "Emergency Medicine" physician in Glendale, California. His current practice location is 1812 Verdugo Blvd, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 790-7100.

Dr Jonathan K Gottlieb is licensed to practice in California (license number A122886) 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 1225380876.

Contact Information

	Dr Jonathan K Gottlieb, MD
	1812 Verdugo Blvd, Glendale, CA 91208-1407
	(818) 790-7100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jonathan K Gottlieb
Gender	Male
Speciality	Emergency Medicine
Location	1812 Verdugo Blvd, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225380876
Provider Enumeration Date: 10/05/2012
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 1951626563
Enrollment ID: I20150202001273

Medical Identifiers

Medical identifiers for Dr Jonathan K Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225380876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A122886 (California)	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. Dr Jonathan K Gottlieb allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Entity Name	Urgent Care Center Of South Bay Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164547717 PECOS PAC ID: 7810088010 Enrollment ID: O20070801000885

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. Dr Jonathan K Gottlieb 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
Dr Jonathan K Gottlieb, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (818) 790-7100	Dr Jonathan K Gottlieb, MD 1812 Verdugo Blvd, Glendale, CA 91208-1407 Ph: (818) 790-7100

Reviews and Comments

Emergency Medicine Doctors in Glendale, CA

Cheryl Lee Jang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206 Phone: 818-863-4000
Dr. Josiah Friedlander, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1420 S Central Ave, Glendale, CA 91204 Phone: 818-502-2344 Fax: 818-502-4501
Dr. Gil Z Shlamovitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100
Peter Utas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206 Phone: 818-409-8000
Peter E Shin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1509 Wilson Ter, Emergency Dept. - Glendale Adventist Medical Center, Glendale, CA 91206 Phone: 818-409-8000
Dr. Ryan Raam, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100
Dr. Jacob John Fakoory, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1420 S Central Ave, Glendale, CA 91204 Phone: 818-502-2344 Fax: 818-502-4501

Dr Jonathan K Gottlieb, MD - Medicare Emergency Medicine in Glendale, CA