Dr Jason Alexander Mckellop, MD - Medicare Diagnostic Radiology in New York, NY

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Dr Jason Alexander Mckellop, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in New York, New York. He went to University Of Michigan Medical School and graduated in 2009 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Beverly Radiology Medical Group Iii, Desert Advanced Imaging Medical Center and his current practice location is 550 1st Ave, Langone Medical Center, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 263-7300.

Dr Jason Alexander Mckellop is licensed to practice in New York (license number 274522) 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 1215166657.

Contact Information

Dr Jason Alexander Mckellop, MD
550 1st Ave, Langone Medical Center,
New York, NY 10016-6402
(212) 263-7300
Not Available

Map and Direction




Physician's Profile

Full NameDr Jason Alexander Mckellop
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location550 1st Ave, New York, New York
Accepts Medicare AssignmentsYes. 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 Jason Alexander Mckellop attended and graduated from University Of Michigan Medical School in 2009
  NPI Data:
  • NPI Number: 1215166657
  • Provider Enumeration Date: 07/07/2009
  • Last Update Date: 06/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5193039667
  • Enrollment ID: I20180531001472

Medical Identifiers

Medical identifiers for Dr Jason Alexander Mckellop such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215166657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301094873 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 274522 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beverly Radiology Medical Group Iii3476466376307
Desert Advanced Imaging Medical Center6406749613157

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 Jason Alexander Mckellop allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20070507000122
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003965997
PECOS PAC ID: 7911099346
Enrollment ID: O20070815000403
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598

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 Jason Alexander Mckellop 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 AddressPractice Location Address
Dr Jason Alexander Mckellop, MD
564 1st Ave, Apt 18 N,
New York, NY 10016-6482

Ph: (202) 368-8208		Dr Jason Alexander Mckellop, MD
550 1st Ave, Langone Medical Center,
New York, NY 10016-6402

Ph: (212) 263-7300

Reviews and Comments


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