Jonathan Friedman, MA is a medicare enrolled "Counselor - Mental Health" provider in San Diego, California. His current practice location is
734 10th Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(619) 239-4663.
Jonathan Friedman is licensed to practice in * (Not Available) (license number ) 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 1457404113.
Healthcare Provider's Profile
| Full Name | Jonathan Friedman |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 734 10th Ave, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457404113
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 02/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 9032485990
- Enrollment ID: I20250117002071
Medical Identifiers
Medical identifiers for Jonathan Friedman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457404113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PY12323 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | PY12323 (Florida) | 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. Jonathan Friedman allows following entities to bill medicare on his behalf.
| Entity Name | Lee Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942058557
PECOS PAC ID: 9335672146
Enrollment ID: O20241114001576 |
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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. Jonathan Friedman 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 |
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Jonathan Friedman, MA
Po Box 2147,
Fort Myers, FL 33902-2147
Ph: (239) 343-6050 | Jonathan Friedman, MA
734 10th Ave,
San Diego, CA 92101-6502
Ph: (619) 239-4663 |
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