Gavin Kolodge, - Medicare Physical Medicine And Rehabilitation in San Diego, CA

Gavin Kolodge, is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in San Diego, California. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Synergy Orthopedic Specialists Inc and his current practice location is 9339 Genesee Ave, Ste 150, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 357-9477.

Gavin Kolodge is licensed to practice in California (license number 20A18281) 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 1407210537.

Contact Information

Gavin Kolodge,
9339 Genesee Ave, Ste 150,
San Diego, CA 92121-2144
(858) 357-9477
Not Available

Map and Direction




Physician's Profile

Full NameGavin Kolodge
GenderMale
SpecialityPhysical Medicine And Rehabilitation
Experience8 Years
Location9339 Genesee Ave, San Diego, 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:
  • Gavin Kolodge graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1407210537
  • Provider Enumeration Date: 04/05/2016
  • Last Update Date: 09/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032531967
  • Enrollment ID: I20200623002836

Medical Identifiers

Medical identifiers for Gavin Kolodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407210537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 20A18281 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Synergy Orthopedic Specialists Inc094145049850

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. Gavin Kolodge allows following entities to bill medicare on his behalf.
Entity NameSynergy Orthopedic Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114282779
PECOS PAC ID: 0941450498
Enrollment ID: O20121018000776

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. Gavin Kolodge 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
Gavin Kolodge,
4445 Eastgate Mall, Ste 105,
San Diego, CA 92121-1979

Ph: (858) 357-9450
Gavin Kolodge,
9339 Genesee Ave, Ste 150,
San Diego, CA 92121-2144

Ph: (858) 357-9477

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in San Diego, CA

Dr. Rogelio Hernandez Jr., DPT
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Jake Fellow, DPT
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Phone: 858-217-2496    
Dr. Blake R Thompson, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 9040 Friars Rd, Suite 400, San Diego, CA 92108
Phone: 619-284-6377    Fax: 619-528-2841
Mr. Rajiv D Reddy, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 619-543-5754    

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.