Jay Ezra Haggerty, MD in Roseville, MN - Medicare Diagnostic Radiology

Jay Ezra Haggerty, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Roseville, Minnesota. He went to University Of Washington School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Subspecialists Of Northern Illinois Llc and his current practice location is 2355 Highway 36 W Ste 100, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 292-2000.

Jay Ezra Haggerty is licensed to practice in Minnesota (license number 61545) 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 1861784589.

Contact Information

	Jay Ezra Haggerty, MD
	2355 Highway 36 W Ste 100, Roseville, MN 55113-3905
	(651) 292-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jay Ezra Haggerty
Gender	Male
Speciality	Diagnostic Radiology
Experience	13 Years
Location	2355 Highway 36 W Ste 100, Roseville, Minnesota
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:

Jay Ezra Haggerty attended and graduated from University Of Washington School Of Medicine in 2011

NPI Data:

NPI Number: 1861784589
Provider Enumeration Date: 05/13/2011
Last Update Date: 07/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7012217441
Enrollment ID: I20220628000675

Medical Identifiers

Medical identifiers for Jay Ezra Haggerty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861784589	NPI	-	NPPES
61545	Other	MN	MD LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	PG154676 (Oregon)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	61545 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Delnor Community Hospital	Geneva, IL	Hospital
Central Dupage Hospital	Winfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radiology Subspecialists Of Northern Illinois Llc	2264717925	30

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. Jay Ezra Haggerty allows following entities to bill medicare on his behalf.

Entity Name	Radiology Subspecialists Of Northern Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104378942 PECOS PAC ID: 2264717925 Enrollment ID: O20170320000767

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. Jay Ezra Haggerty 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
Jay Ezra Haggerty, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000	Jay Ezra Haggerty, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000

Reviews and Comments

Radiology Doctors in Roseville, MN

Dr. Amanjit Singh Baadh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-0000
Dr. Jonathan P Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000
Dr. Grant Michael Riesberg, MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000
Jorge A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000
John P Knoedler Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000
Robert John Hosker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 Fax: 651-681-1140
Jennifer Ashley Knight, MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000

Jay Ezra Haggerty, MD - Medicare Diagnostic Radiology in Roseville, MN