Dr Jay Emerson Kellaway, MD is a
Radiology - Diagnostic Radiology physician based in West Olive, Michigan. Dr Jay Emerson Kellaway is licensed to practice in Michigan (license number 1686290) and his current practice location is 10229 Lakeshore Dr, West Olive, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 842-6757.
NPI number for Dr Jay Emerson Kellaway is 1629129200 and his current mailing address is 10229 Lakeshore Dr, West Olive, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629129200.
Physician's Profile
Full Name | Dr Jay Emerson Kellaway |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 10229 Lakeshore Dr, West Olive, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629129200
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jay Emerson Kellaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629129200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 1686290 (Michigan) | Primary |
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. Dr Jay Emerson Kellaway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jay Emerson Kellaway, MD 10229 Lakeshore Dr, West Olive, MI 49460-9554 Ph: (616) 842-6757 | Dr Jay Emerson Kellaway, MD 10229 Lakeshore Dr, West Olive, MI 49460-9554 Ph: (616) 842-6757 |
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