| Jonathan D Woolery, MD, MPH, MS | |
|
22400 Barton Rd # 21-301, Grand Terrace, CA 92313-5030 | |
| (949) 378-8250 | |
| Not Available |
| Full Name | Jonathan D Woolery |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 22400 Barton Rd # 21-301, Grand Terrace, 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 |
|---|---|---|---|
| 1891959730 | NPI | - | NPPES |
| 2008018595 | Other | MO | MISSOURI LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Mimbres Valley Medical Center | Deming, NM | Hospital |
| Grove Hill Memorial Hospital | Grove hill, AL | Hospital |
| Rehoboth Mckinley Christian Health Care Services | Gallup, NM | Hospital |
| St Vincent's East | Birmingham, AL | Hospital |
| La Paz Regional Hospital Inc | Parker, AZ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunset Emergency Physicians Llc | 7214113042 | 15 |
| Fep West Llc | 3375041270 | 19 |
| Newgen Alabama Billing Llc | 9133657208 | 99 |
| Exceptional Physicians Group Bullhead City Hospital Pllc | 9335599604 | 11 |
| Exceptional Physicians Group Yuma Hospital Pllc | 3173983186 | 21 |
| Paragon Contracting Services Llc | 3971417825 | 404 |
| Southwest Emergency Medical Associates Of Nm Pc | 8426324294 | 55 |
| Relymd Virtual Health Regional Pc | 1052828878 | 10 |
| Entity Name | Benson Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
| Entity Name | Tempe Emergency Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376934315 PECOS PAC ID: 2365337300 Enrollment ID: O20040218000500 |
| Entity Name | Arizona Emergency Medicine Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134439706 PECOS PAC ID: 8921295684 Enrollment ID: O20110208000837 |
| Entity Name | Sunset Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871504860 PECOS PAC ID: 7214113042 Enrollment ID: O20110512000291 |
| Entity Name | La Paz Regional Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1053684555 PECOS PAC ID: 1557273356 Enrollment ID: O20120409000056 |
| Entity Name | Nes Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205217700 PECOS PAC ID: 2163737206 Enrollment ID: O20150818005113 |
| Entity Name | Exceptional Physician Group Arizona, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447910229 PECOS PAC ID: 0042605008 Enrollment ID: O20220310000502 |
| Entity Name | Exceptional Physicians Group Yuma Hospital PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235857699 PECOS PAC ID: 3173983186 Enrollment ID: O20230721000455 |
| Entity Name | Exceptional Physicians Group Bullhead City Hospital PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518732023 PECOS PAC ID: 9335599604 Enrollment ID: O20231228002414 |
| Entity Name | Exceptional Physicians Group Prescott Hospital PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720807670 PECOS PAC ID: 0446775373 Enrollment ID: O20250423001192 |
| Entity Name | Exceptional Physicians Group Eloy Hospital PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760203855 PECOS PAC ID: 4183114861 Enrollment ID: O20251111000745 |
| Entity Name | Relymd Virtual Health TX PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770374126 PECOS PAC ID: 1254827132 Enrollment ID: O20260226003690 |
| Entity Name | Relymd Virtual Health Ca PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194515106 PECOS PAC ID: 3971094590 Enrollment ID: O20260327001914 |
| Entity Name | Relymd Virtual Health Regional PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134912124 PECOS PAC ID: 1052828878 Enrollment ID: O20260424001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D Woolery, MD, MPH, MS 22400 Barton Rd # 21-301, Grand Terrace, CA 92313-5030 Ph: (949) 378-8250 | Jonathan D Woolery, MD, MPH, MS 22400 Barton Rd # 21-301, Grand Terrace, CA 92313-5030 Ph: (949) 378-8250 |