Dr Jonathan Melton Lish, MD - Medicare Family Practice in San Bruno, CA

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Dr Jonathan Melton Lish, MD is a medicare enrolled "Family Medicine" physician in San Bruno, California. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 851 Cherry Ave Ste 4, San Bruno, California. You can reach out to his office (for appointments etc.) via phone at (650) 273-9412.

Dr Jonathan Melton Lish is licensed to practice in California (license number A177373) 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 1811459456.

Contact Information

Dr Jonathan Melton Lish, MD
851 Cherry Ave Ste 4,
San Bruno, CA 94066-2953
(650) 273-9412
Not Available

Map and Direction




Physician's Profile

Full NameDr Jonathan Melton Lish
GenderMale
SpecialityFamily Practice
Experience6 Years
Location851 Cherry Ave Ste 4, San Bruno, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jonathan Melton Lish graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1811459456
  • Provider Enumeration Date: 04/03/2019
  • Last Update Date: 11/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911376991
  • Enrollment ID: I20221214000705

Medical Identifiers

Medical identifiers for Dr Jonathan Melton Lish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811459456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A177373 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387783318

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 Melton Lish allows following entities to bill medicare on his behalf.
Entity NameSharp Rees-stealy Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285616177
PECOS PAC ID: 8628972759
Enrollment ID: O20031120000996
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909
Entity NameFamily Health Centers Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923
Entity NameVitruvianmd Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053031716
PECOS PAC ID: 4385013366
Enrollment ID: O20221214000644

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 Melton Lish 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 AddressPractice Location Address
Dr Jonathan Melton Lish, MD
Po Box 276950,
Sacramento, CA 95827-6950

Ph: (650) 273-9412		Dr Jonathan Melton Lish, MD
851 Cherry Ave Ste 4,
San Bruno, CA 94066-2953

Ph: (650) 273-9412

Reviews and Comments


Family Medicine Doctors in San Bruno, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.