Jonathan Holloway, - Medicare Emergency Medicine in San Diego, CA

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Jonathan Holloway, is a medicare enrolled "Emergency Medicine" physician in San Diego, California. He went to University Of Texas Medical School At San Antonio and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Providence Medical Foundation and his current practice location is 4441 Del Mar Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 980-6210.

Jonathan Holloway is licensed to practice in California (license number 138053) 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 1710272547.

Contact Information

Jonathan Holloway,
4441 Del Mar Ave,
San Diego, CA 92107-3618
(619) 980-6210
(619) 980-6210

Map and Direction




Physician's Profile

Full NameJonathan Holloway
GenderMale
SpecialityEmergency Medicine
Experience13 Years
Location4441 Del Mar Ave, San Diego, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Holloway attended and graduated from University Of Texas Medical School At San Antonio in 2011
  NPI Data:
  • NPI Number: 1710272547
  • Provider Enumeration Date: 06/09/2011
  • Last Update Date: 11/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395989461
  • Enrollment ID: I20151217001833

Medical Identifiers

Medical identifiers for Jonathan Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710272547NPI-NPPES
012371500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME120754 (Florida)Secondary
207P00000XEmergency Medicine TRN15976 (Texas)Secondary
207P00000XEmergency Medicine 138053 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalEureka, CAHospital
Redwood Memorial HospitalFortuna, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

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 Holloway allows following entities to bill medicare on his behalf.
Entity NameSeneca Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326234022
PECOS PAC ID: 8820907140
Enrollment ID: O20031210001061
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameGrand Avenue Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962913632
PECOS PAC ID: 7315206653
Enrollment ID: O20180112002313
Entity NameSound Physicians Emergency Medicine Of Southern California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194180968
PECOS PAC ID: 9436406964
Enrollment ID: O20180716001079
Entity NameSanta Ynez River Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396210597
PECOS PAC ID: 7911241229
Enrollment ID: O20181127001998

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 Holloway 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
Jonathan Holloway,
4441 Del Mar Ave,
San Diego, CA 92107-3618

Ph: () -		Jonathan Holloway,
4441 Del Mar Ave,
San Diego, CA 92107-3618

Ph: (619) 980-6210

Reviews and Comments


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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.

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