Jonathan David Packer, DO in Roseville, CA - Medicare Internal Medicine

Jonathan David Packer, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Roseville, California. His current practice location is 5 Medical Plaza Dr Ste 190, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 679-3590.

Jonathan David Packer is licensed to practice in California (license number 20A21007) 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 1316472764.

Contact Information

	Jonathan David Packer, DO
	5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867
	(916) 679-3590
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan David Packer
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	5 Medical Plaza Dr Ste 190, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316472764
Provider Enumeration Date: 04/24/2017
Last Update Date: 07/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3971990649
Enrollment ID: I20220427001665

Medical Identifiers

Medical identifiers for Jonathan David Packer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316472764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20A21007 (California)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	20A21007 (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. Jonathan David Packer allows following entities to bill medicare on his behalf.

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20181106002747

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 David Packer 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
Jonathan David Packer, DO 1300 Ethan Way Ste 600, Sacramento, CA 95825-2296 Ph: (916) 679-3590	Jonathan David Packer, DO 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 Ph: (916) 679-3590

Reviews and Comments

Internal Medicine Doctors in Roseville, CA

Mr. Jaspreet Singh Dhanjal, D.O. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2235 Douglas Blvd Ste 510, Roseville, CA 95661 Phone: 916-446-4449 Fax: 916-446-4370
James H. Heykes, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Dr. Lakhvir Kaur, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr Ste 200, Roseville, CA 95661 Phone: 916-797-4715
Dr. John T Bakos, M.D., PHD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 729 Sunrise Ave, Suite 610, Roseville, CA 95661 Phone: 916-347-7001 Fax: 916-304-1633
Uma H Gowda, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8 Medical Plaza Dr Ste 300, Roseville, CA 95661 Phone: 916-782-5106 Fax: 916-878-4941
Peter A. Javaheri, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Rani Reddy Vatti, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000

Jonathan David Packer, DO - Medicare Internal Medicine in Roseville, CA