Jonathan Fredric Waxer, MD in Los Angeles, CA

Jonathan Fredric Waxer, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Los Angeles, California. His current practice location is 4950 W Sunset Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 783-2841.

Jonathan Fredric Waxer is licensed to practice in California (license number A163392) 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 1629575337.

Contact Information

	Jonathan Fredric Waxer, MD
	4950 W Sunset Blvd, Los Angeles, CA 90027-5821
	(323) 783-2841
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Fredric Waxer
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	4950 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629575337
Provider Enumeration Date: 04/09/2018
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8224360706
Enrollment ID: I20231228003852

Medical Identifiers

Medical identifiers for Jonathan Fredric Waxer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629575337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	A163392 (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 Fredric Waxer allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Fredric Waxer 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 Fredric Waxer, MD 4950 W Sunset Blvd, Los Angeles, CA 90027-5821 Ph: () -	Jonathan Fredric Waxer, MD 4950 W Sunset Blvd, Los Angeles, CA 90027-5821 Ph: (323) 783-2841

Reviews and Comments

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Jonathan Fredric Waxer, MD - Medicare Radiology in Los Angeles, CA