Jon Edwin Mundall, MD in Yreka, CA - Medicare Family Medicine

Jon Edwin Mundall, MD is a medicare enrolled "Family Medicine" physician in Yreka, California. His current practice location is 475 Bruce St, Suite 700, Yreka, California. You can reach out to his office (for appointments etc.) via phone at (530) 842-4445.

Jon Edwin Mundall is licensed to practice in California (license number A96027) 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 1063435576.

Contact Information

	Jon Edwin Mundall, MD
	475 Bruce St, Suite 700, Yreka, CA 96097-9553
	(530) 842-4445
	(530) 842-9054

Map and Direction

Physician's Profile

Full Name	Jon Edwin Mundall
Gender	Male
Speciality	Family Medicine
Location	475 Bruce St, Yreka, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063435576
Provider Enumeration Date: 07/25/2006
Last Update Date: 10/16/2008

Medicare PECOS Information:

PECOS PAC ID: 4789688557
Enrollment ID: I20121213000064

Medical Identifiers

Medical identifiers for Jon Edwin Mundall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063435576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A96027 (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. Jon Edwin Mundall allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services - Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841442332 PECOS PAC ID: 3577623115 Enrollment ID: O20090130000176

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 Edwin Mundall 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 Edwin Mundall, MD Po Box 1167, Yreka, CA 96097-1167 Ph: (530) 842-9800	Jon Edwin Mundall, MD 475 Bruce St, Suite 700, Yreka, CA 96097-9553 Ph: (530) 842-4445

Reviews and Comments

Family Medicine Doctors in Yreka, CA

Richard Slarve, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 475 Bruce St, Yreka, CA 96097 Phone: 530-842-3507 Fax: 530-842-9412
Dr. Richard E Swenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S Oregon St, Yreka, CA 96097 Phone: 530-842-2062 Fax: 530-842-2160
Roy E Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 475 Bruce St, Yreka, CA 96097 Phone: 530-842-3507
Dr. Barbara Best North, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1519 S Oregon St, Yreka, CA 96097 Phone: 530-842-9200
Dr. Louis Derouchey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Bruce St Ste 500, Yreka, CA 96097 Phone: 530-842-3507 Fax: 530-842-9054
Stephen Kolpacoff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 E Oberlin Rd, Yreka, CA 96097 Phone: 530-841-8513 Fax: 530-842-9640

Jon Edwin Mundall, MD - Medicare Family Medicine in Yreka, CA