Dr Jon Gabriel Ellison, MD in La Mesa, CA - Medicare Diagnostic Radiology

Dr Jon Gabriel Ellison, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in La Mesa, California. He went to Baylor College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice X-ray Medical Group Inc and his current practice location is 7777 Alvarado Rd Ste 108, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 460-2774.

Dr Jon Gabriel Ellison is licensed to practice in Illinois (license number 125049476) 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 1760630669.

Contact Information

	Dr Jon Gabriel Ellison, MD
	7777 Alvarado Rd Ste 108, La Mesa, CA 91942-8245
	(619) 460-2774
	(619) 460-2774

Map and Direction

Physician's Profile

Full Name	Dr Jon Gabriel Ellison
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	7777 Alvarado Rd Ste 108, La Mesa, 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.

Medical Education and Training:

Dr Jon Gabriel Ellison attended and graduated from Baylor College Of Medicine in 2005

NPI Data:

NPI Number: 1760630669
Provider Enumeration Date: 09/04/2008
Last Update Date: 03/02/2012

Medicare PECOS Information:

PECOS PAC ID: 5597937912
Enrollment ID: I20111007000142

Medical Identifiers

Medical identifiers for Dr Jon Gabriel Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760630669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	125049476 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grossmont Hospital	La mesa, CA	Hospital
Uc San Diego Health Hillcrest - Hillcrest Med Ctr	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
X-ray Medical Group Inc	5294796801	39

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. Dr Jon Gabriel Ellison allows following entities to bill medicare on his behalf.

Entity Name	X-ray Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740232776 PECOS PAC ID: 5294796801 Enrollment ID: O20041026000600

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 Jon Gabriel Ellison 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
Dr Jon Gabriel Ellison, MD 7777 Alvarado Rd Ste 108, La Mesa, CA 91942-8245 Ph: (619) 460-2774	Dr Jon Gabriel Ellison, MD 7777 Alvarado Rd Ste 108, La Mesa, CA 91942-8245 Ph: (619) 460-2774

Reviews and Comments

Radiology Doctors in La Mesa, CA

Dr. Jonathan Tiefenbrun, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Ste 505, La Mesa, CA 91942 Phone: 619-461-3880 Fax: 619-461-3895
Dr. Tuan Xuan Ha, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4000
Dr. Scott Carey Honowitz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4005 Fax: 619-740-4207
James C Jacobsen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484
Dr. Charles Kerber, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4444 Topa Topa Dr, La Mesa, CA 91941 Phone: 760-598-8058 Fax: 760-598-8078
Alexander S Urioste, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484
Stanley Rapoport, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484

Dr Jon Gabriel Ellison, MD - Medicare Diagnostic Radiology in La Mesa, CA