Jon A Detterich, MD in Los Angeles, CA - Medicare Cardiovascular Disease (cardiology)

Jon A Detterich, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Los Angeles, California. He went to Medical College Of Wisconsin and graduated in 2003 and has 21 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Childrens Hospital Los Angeles Medical Group Inc and his current practice location is 4650 W Sunset Blvd, Ms #113, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 361-2109.

Jon A Detterich is licensed to practice in California (license number A89834) 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 1659518884.

Contact Information

	Jon A Detterich, MD
	4650 W Sunset Blvd, Ms #113, Los Angeles, CA 90027-6062
	(323) 361-2109
	Not Available

Map and Direction

Physician's Profile

Full Name	Jon A Detterich
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	21 Years
Location	4650 W Sunset Blvd, Los Angeles, 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:

Jon A Detterich attended and graduated from Medical College Of Wisconsin in 2003

NPI Data:

NPI Number: 1659518884
Provider Enumeration Date: 01/09/2009
Last Update Date: 01/09/2009

Medicare PECOS Information:

PECOS PAC ID: 0042345589
Enrollment ID: I20170706000923

Medical Identifiers

Medical identifiers for Jon A Detterich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659518884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	A89834 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Children's Hosp Of Los Angeles	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Childrens Hospital Los Angeles Medical Group Inc	0143126920	158

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. Jon A Detterich allows following entities to bill medicare on his behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

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. Jon A Detterich 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
Jon A Detterich, MD 6430 W Sunset Blvd, Suite 600, Los Angeles, CA 90028-7901 Ph: (232) 361-2337	Jon A Detterich, MD 4650 W Sunset Blvd, Ms #113, Los Angeles, CA 90027-6062 Ph: (323) 361-2109

Reviews and Comments

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Jon A Detterich, MD - Medicare Cardiovascular Disease (cardiology) in Los Angeles, CA