Jonathan Maynard, MD in Irvine, CA

Jonathan Maynard, MD is a medicare enrolled "Pediatrics" physician in Irvine, California. His current practice location is 18102 Culver Dr, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (657) 241-8220.

Jonathan Maynard is licensed to practice in California (license number A136798) 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 1255765020.

Contact Information

	Jonathan Maynard, MD
	18102 Culver Dr, Irvine, CA 92612-2730
	(657) 241-8220
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Maynard
Gender	Male
Speciality	Pediatrics
Location	18102 Culver Dr, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255765020
Provider Enumeration Date: 08/28/2013
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2860777166
Enrollment ID: I20170329001601

Medical Identifiers

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

Identifier	Type	State	Issuer
1255765020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A136798 (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 Maynard allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Maynard 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 Maynard, MD 18102 Culver Dr, Irvine, CA 92612-2730 Ph: (657) 241-8220	Jonathan Maynard, MD 18102 Culver Dr, Irvine, CA 92612-2730 Ph: (657) 241-8220

Reviews and Comments

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Jonathan Maynard, MD - Medicare Pediatrics in Irvine, CA