Jack Everett Downhill Jr, MD - Medicare Psychiatry & Neurology in San Pedro, CA

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Jack Everett Downhill Jr, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Pedro, California. His current practice location is 3031 S Denison Ave, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at (323) 379-3611.

Jack Everett Downhill Jr is licensed to practice in California (license number A50066) 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 1467522813.

Contact Information

Jack Everett Downhill Jr, MD
3031 S Denison Ave,
San Pedro, CA 90731-6703
(323) 379-3611
Not Available

Map and Direction




Physician's Profile

Full NameJack Everett Downhill Jr
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location3031 S Denison Ave, San Pedro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467522813
  • Provider Enumeration Date: 11/09/2006
  • Last Update Date: 09/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082682208
  • Enrollment ID: I20170126002062

Medical Identifiers

Medical identifiers for Jack Everett Downhill Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467522813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD180816 (Oregon)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 198053 (New York)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry A50066 (California)Primary

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. Jack Everett Downhill Jr allows following entities to bill medicare on his behalf.
Entity NameLegacy Emanuel Hospital & Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831112358
PECOS PAC ID: 4587573639
Enrollment ID: O20040127001204

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. Jack Everett Downhill Jr 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
Jack Everett Downhill Jr, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-6176		Jack Everett Downhill Jr, MD
3031 S Denison Ave,
San Pedro, CA 90731-6703

Ph: (323) 379-3611

Reviews and Comments


Psychiatry & Neurology Doctors in San Pedro, CA

Amber Marie Kondor, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 150 W 7th St, San Pedro, CA 90731
Phone: 310-519-6100    Fax: 310-732-5809
Dr. Mark Iver Honig, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 150 W 7th St, San Pedro, CA 90731
Phone: 310-519-6100    
Dr. Laron E. Phillips, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 150 W 7th St, San Pedro, CA 90731
Phone: 310-519-6100    
Richard S Gluckman, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1360 W 6th St, #350, North Bldg, San Pedro, CA 90732
Phone: 310-832-6428    Fax: 310-832-5178
Dr. John Louis Perry Jr., MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 150 W 7th St, San Pedro, CA 90731
Phone: 310-519-6100    
Dr. James Steven Brust, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2403 S Moray Ave, Suite 4, San Pedro, CA 90732
Phone: 310-832-7943    Fax: 310-514-8017
Dr. Roger Lee Engelbert, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 150 W 7th St, San Pedro, CA 90731
Phone: 310-519-6100    Fax: 310-732-5809

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.