Jon Thomas Umlauf, MD is a medicare enrolled "Nuclear Medicine" physician in San Diego, California. He went to Pennsylvania State University College Of Medicine and graduated in 1989 and has 37 years of diverse experience with area of expertise as Nuclear Medicine. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
4647 Zion Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(206) 616-5781.
Jon Thomas Umlauf is licensed to practice in California (license number G89012) 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 1356332373.
Physician's Profile
| Full Name | Jon Thomas Umlauf |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Experience | 37 Years |
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| Location | 4647 Zion Ave, San Diego, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jon Thomas Umlauf attended and graduated from Pennsylvania State University College Of Medicine in 1989
NPI Data:
- NPI Number: 1356332373
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799818647
- Enrollment ID: I20120321000724
Medical Identifiers
Medical identifiers for Jon Thomas Umlauf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356332373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25MA56685 (New Jersey) | Secondary |
| 207U00000X | Nuclear Medicine | MD00046429 (Washington) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 25MA56685 (New Jersey) | Secondary |
| 208D00000X | General Practice | 25MA56685 (New Jersey) | Secondary |
| 207U00000X | Nuclear Medicine | G89012 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
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. Jon Thomas Umlauf allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Jon Thomas Umlauf 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 |
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Jon Thomas Umlauf, MD
4647 Zion Ave, Nuclear Medicine Department,
San Diego, CA 92120-2507
Ph: (619) 528-6567 | Jon Thomas Umlauf, MD
4647 Zion Ave,
San Diego, CA 92120-2507
Ph: (206) 616-5781 |
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