Dr Jason P Kellogg, MD | |
17782 Cowan, Suite A, Irvine, CA 92614-6030 | |
(949) 722-7118 | |
(949) 722-7119 |
Full Name | Dr Jason P Kellogg |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 27 Years |
Location | 17782 Cowan, Irvine, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952331530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A66130 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progeny Psychiatric Clinic A Medical Corporation | 4688904592 | 31 |
Jason Kellogg Md Inc | 9032266127 | 12 |
Entity Name | Jason Kellogg Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235391624 PECOS PAC ID: 9032266127 Enrollment ID: O20090407000131 |
Entity Name | Progeny Psychiatric Clinic A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548735202 PECOS PAC ID: 4688904592 Enrollment ID: O20190919000593 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason P Kellogg, MD 17782 Cowan, Ste A, Irvine, CA 92614 Ph: (949) 722-7118 | Dr Jason P Kellogg, MD 17782 Cowan, Suite A, Irvine, CA 92614-6030 Ph: (949) 722-7118 |
Dr. Kort Christopher Ulicny, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 139 Tenor, Irvine, CA 92618 Phone: 949-339-7299 Fax: 949-946-6763 | |
Amy Blood, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19712 Macarthur Blvd Ste 110, Irvine, CA 92612 Phone: 949-773-9207 Fax: 618-202-2024 | |
Dr. Amelia Angela Russo-neustadt, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 Pacifica, Suite 160, Irvine, CA 92618 Phone: 949-453-8805 | |
Dr. Ravindra R Chand, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 22 Odyssey Suite 240, Pacific Neuropsychiatry And Sleep, Irvine, CA 92618 Phone: 949-207-3797 Fax: 949-207-3799 | |
Tuong Nguyen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5 Flora Spgs, Irvine, CA 92602 Phone: 714-935-6363 Fax: 714-935-8112 | |
Harold Louis Boerlin Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15615 Alton Pkwy, Suite 220, Irvine, CA 92618 Phone: 949-753-1143 Fax: 949-249-6601 | |
Emily Mills Johnson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6 Venture, Ste 350, Irvine, CA 92618 Phone: 949-753-8800 Fax: 949-753-8899 |