Dr Jonathan S Koelle, MD in La Mesa, CA

Dr Jonathan S Koelle, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in La Mesa, California. He went to Pennsylvania State University College Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Mark David Levine Md Professional Corporation and his current practice location is 4700 Spring St, Suite 220, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 667-3380.

Dr Jonathan S Koelle is licensed to practice in California (license number G79002) 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 1609803824.

Contact Information

	Dr Jonathan S Koelle, MD
	4700 Spring St, Suite 220, La Mesa, CA 91951-5274
	(619) 667-3380
	(619) 667-0815

Map and Direction

Physician's Profile

Full Name	Dr Jonathan S Koelle
Gender	Male
Speciality	Psychiatry
Experience	38 Years
Location	4700 Spring St, La Mesa, 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:

Dr Jonathan S Koelle attended and graduated from Pennsylvania State University College Of Medicine in 1987

NPI Data:

NPI Number: 1609803824
Provider Enumeration Date: 06/26/2006
Last Update Date: 02/21/2020

Medicare PECOS Information:

PECOS PAC ID: 1254400583
Enrollment ID: I20080513000377

Medical Identifiers

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

Identifier	Type	State	Issuer
1609803824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	G79002 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mark David Levine Md Professional Corporation	0143478305	106

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 S Koelle allows following entities to bill medicare on his behalf.

Entity Name	Psychiatric Centers At San Diego, Inc. Med Grp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841241585 PECOS PAC ID: 0143201087 Enrollment ID: O20040526001651

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	Mark David Levine Md Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154697944 PECOS PAC ID: 0143478305 Enrollment ID: O20120912000548

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 S Koelle 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 S Koelle, MD Po Box 609001, San Diego, CA 92160-9001 Ph: (619) 528-4600	Dr Jonathan S Koelle, MD 4700 Spring St, Suite 220, La Mesa, CA 91951-5274 Ph: (619) 667-3380

Reviews and Comments

Psychiatry & Neurology Doctors in La Mesa, CA

Dr. Victoria Sharma, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 602a, La Mesa, CA 91942 Phone: 619-740-4488 Fax: 619-740-4791
Krauz K Ganadjian, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-615-5037 Fax: 619-740-4764
Christopher Goyne, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600
Kikelomo Aluko, RN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000
Samuel O Etchie, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7200 Parkway Dr Ste 113, La Mesa, CA 91942 Phone: 619-337-0455 Fax: 619-667-6059
Dr. Amirhassan Bahreman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr, Suite 608, La Mesa, CA 91942 Phone: 619-460-5850 Fax: 619-460-5849
Dr. Vladimir Khalafian, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-354-0388 Fax: 844-211-3274

Dr Jonathan S Koelle, MD - Medicare Psychiatry in La Mesa, CA