Richard Lester Stephen Jennelle, MD in Los Angeles, CA

Richard Lester Stephen Jennelle, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Los Angeles, California. He went to University Of Cincinnati College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Usc Care Medical Group Inc and his current practice location is 1441 Eastlake Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 865-3050.

Richard Lester Stephen Jennelle is licensed to practice in California (license number G87183) 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 1215053335.

Contact Information

	Richard Lester Stephen Jennelle, MD
	1441 Eastlake Ave, Los Angeles, CA 90089-0112
	(323) 865-3050
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard Lester Stephen Jennelle
Gender	Male
Speciality	Radiation Oncology
Experience	38 Years
Location	1441 Eastlake Ave, Los Angeles, 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:

Richard Lester Stephen Jennelle attended and graduated from University Of Cincinnati College Of Medicine in 1986

NPI Data:

NPI Number: 1215053335
Provider Enumeration Date: 03/21/2007
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8426038431
Enrollment ID: I20041007000408

Medical Identifiers

Medical identifiers for Richard Lester Stephen Jennelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215053335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	G87183 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lac+usc Medical Center	Los angeles, CA	Hospital
Keck Hospital Of Usc	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Usc Care Medical Group Inc	0446157747	1142

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. Richard Lester Stephen Jennelle allows following entities to bill medicare on his behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Richard Lester Stephen Jennelle 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
Richard Lester Stephen Jennelle, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 865-3050	Richard Lester Stephen Jennelle, MD 1441 Eastlake Ave, Los Angeles, CA 90089-0112 Ph: (323) 865-3050

Reviews and Comments

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Richard Lester Stephen Jennelle, MD - Medicare Radiation Oncology in Los Angeles, CA