Dr Jonathan Tiefenbrun, MD in La Mesa, CA

Dr Jonathan Tiefenbrun, MD is a medicare enrolled "Radiology - Diagnostic Ultrasound" physician in La Mesa, California. His current practice location is 8851 Center Dr, Ste 505, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 461-3880.

Dr Jonathan Tiefenbrun is licensed to practice in California (license number B18861) 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 1265437727.

Contact Information

	Dr Jonathan Tiefenbrun, MD
	8851 Center Dr, Ste 505, La Mesa, CA 91942-3017
	(619) 461-3880
	(619) 461-3895

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Tiefenbrun
Gender	Male
Speciality	Radiology - Diagnostic Ultrasound
Location	8851 Center Dr, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265437727
Provider Enumeration Date: 06/20/2005
Last Update Date: 09/18/2015

Medicare PECOS Information:

PECOS PAC ID: 0244373173
Enrollment ID: I20100201000542

Medical Identifiers

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

Identifier	Type	State	Issuer
1265437727	NPI	-	NPPES
WG85951A	Other	CA	SO CA MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085U0001X	Radiology - Diagnostic Ultrasound	B18861 (California)	Primary
208600000X	Surgery	G85951 (California)	Secondary

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 Tiefenbrun allows following entities to bill medicare on his behalf.

Entity Name	Robert Marriott Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20080519000660

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 Tiefenbrun 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 Tiefenbrun, MD 9610 Granite Ridge Dr, Ste B, San Diego, CA 92123-2684 Ph: (858) 810-8000	Dr Jonathan Tiefenbrun, MD 8851 Center Dr, Ste 505, La Mesa, CA 91942-3017 Ph: (619) 461-3880

Reviews and Comments

Radiology Doctors in La Mesa, CA

Dr. Tuan Xuan Ha, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4000
Dr. Scott Carey Honowitz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4005 Fax: 619-740-4207
James C Jacobsen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484
Dr. Charles Kerber, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4444 Topa Topa Dr, La Mesa, CA 91941 Phone: 760-598-8058 Fax: 760-598-8078
Alexander S Urioste, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484
Dr. Alex Wang Sun, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4008

Dr Jonathan Tiefenbrun, MD - Medicare Radiology in La Mesa, CA