Mr Jay Beckett Federhart, MD | |
200 W Arbor Dr, San Diego, CA 92103-9000 | |
(800) 926-8273 | |
(888) 539-8781 |
Full Name | Mr Jay Beckett Federhart |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 200 W Arbor Dr, San Diego, 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 |
---|---|---|---|
1568422558 | NPI | - | NPPES |
00G846860 | Medicaid | CA | |
G84686 | Other | CA | BC/BS OF CA |
1568422558 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G84686 (California) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | G84686 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San diego, CA | Hospital |
Paradise Valley Hospital | National city, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kc Tan, M.d. Medical Corporation | 2062719719 | 40 |
Regents Of The University Of California | 3577476761 | 1712 |
Entity Name | Valley Radiology Consultants Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205897568 PECOS PAC ID: 4688572639 Enrollment ID: O20031229000627 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558463927 PECOS PAC ID: 3577476761 Enrollment ID: O20040107000584 |
Entity Name | Kern Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700821972 PECOS PAC ID: 7214826460 Enrollment ID: O20040315000421 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
Entity Name | Kc Tan, M.d. Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20160324000980 |
Mailing Address | Practice Location Address |
---|---|
Mr Jay Beckett Federhart, MD File 57326, Los Angeles, CA 90074-7326 Ph: () - | Mr Jay Beckett Federhart, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |
Kripa Anil Guram, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Lejla Aganovic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Zachary G. Rattner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 995 Gateway Center Way, Suite 207, San Diego, CA 92102 Phone: 619-263-9729 Fax: 619-263-9730 | |
Dr. Soheil Niku, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12580 Carmel Creek Rd, #52, San Diego, CA 92130 Phone: 619-322-0341 Fax: 858-509-0341 | |
Dr. Frank B. Hamlett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 319 Laurel St, San Diego, CA 92101 Phone: 619-234-3918 Fax: 619-234-5342 | |
Dr. Aaron Mathew Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, San Diego, CA 92123 Phone: 858-939-3600 | |
Dr. Paul S Schulman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4352 Trias St, San Diego, CA 92103 Phone: 619-997-8881 Fax: 619-795-9980 |