Mr Forrest C Jellison, MD in Loma Linda, CA

Mr Forrest C Jellison, MD is a medicare enrolled "Urology" physician in Loma Linda, California. He went to Loma Linda University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Urology. He is a member of the group practice Beaver Medical Group Pc, Faculty Physicians And Surgeons Of Llusm and his current practice location is 11370 Anderson St Ste 1100, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-4196.

Mr Forrest C Jellison is licensed to practice in California (license number A98781) 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 1508073511.

Contact Information

	Mr Forrest C Jellison, MD
	11370 Anderson St Ste 1100, Loma Linda, CA 92354
	(909) 558-4196
	(909) 558-4806

Map and Direction

Physician's Profile

Full Name	Mr Forrest C Jellison
Gender	Male
Speciality	Urology
Experience	19 Years
Location	11370 Anderson St Ste 1100, Loma Linda, 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:

Mr Forrest C Jellison attended and graduated from Loma Linda University School Of Medicine in 2005

NPI Data:

NPI Number: 1508073511
Provider Enumeration Date: 05/17/2007
Last Update Date: 06/04/2019

Medicare PECOS Information:

PECOS PAC ID: 8022295799
Enrollment ID: I20110606000533

Medical Identifiers

Medical identifiers for Mr Forrest C Jellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508073511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	A98781 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital
Arrowhead Regional Medical Center	Colton, CA	Hospital
Redlands Community Hospital	Redlands, CA	Hospital
Riverside University Health System-medical Center	Moreno valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaver Medical Group Pc	0547164295	259
Faculty Physicians And Surgeons Of Llusm	1153227814	1065

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. Mr Forrest C Jellison allows following entities to bill medicare on his behalf.

Entity Name	Beaver Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Sac Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608

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. Mr Forrest C Jellison 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
Mr Forrest C Jellison, MD 11370 Anderson St Ste 1100, Loma Linda, CA 92354-3450 Ph: (909) 558-4196	Mr Forrest C Jellison, MD 11370 Anderson St Ste 1100, Loma Linda, CA 92354 Ph: (909) 558-4196

Reviews and Comments

Urology Doctors in Loma Linda, CA

Brian Hu, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 1100, Loma Linda, CA 92354 Phone: 909-558-2830
Edmund Yuey Kun Ko, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 1100, Loma Linda, CA 92354 Phone: 909-558-2830 Fax: 909-558-2445
Ala'a Najeeb Hanna Farkouh, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4196
Lesli Izella Nicolay, Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2050, Loma Linda, CA 92354 Phone: 909-558-2735 Fax: 909-558-2731
Dr. Catherine J Chen, MD Urology Medicare: Medicare Enrolled Practice Location: 11370 Anderson St Ste 2050, Loma Linda, CA 92354 Phone: 909-558-2735 Fax: 909-558-2731
Dalton Duane Baldwin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste. 1100, Loma Linda, CA 92354 Phone: 909-558-2830
Paul D Lui, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 1100, Loma Linda, CA 92354 Phone: 909-558-2830

Mr Forrest C Jellison, MD - Medicare Urology in Loma Linda, CA