Mr Jay Beckett Federhart, MD - Medicare Diagnostic Radiology in San Diego, CA

Mr Jay Beckett Federhart, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Diego, California. He went to Creighton University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Kc Tan, M.d. Medical Corporation and his current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (800) 926-8273.

Mr Jay Beckett Federhart is licensed to practice in California (license number G84686) 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 1568422558.

Contact Information

Mr Jay Beckett Federhart, MD
200 W Arbor Dr,
San Diego, CA 92103-9000
(800) 926-8273
(888) 539-8781

Map and Direction




Physician's Profile

Full NameMr Jay Beckett Federhart
GenderMale
SpecialityDiagnostic Radiology
Experience32 Years
Location200 W Arbor Dr, San Diego, California
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:
  • Mr Jay Beckett Federhart attended and graduated from Creighton University School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1568422558
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 12/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436114964
  • Enrollment ID: I20061106000535

Medical Identifiers

Medical identifiers for Mr Jay Beckett Federhart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568422558NPI-NPPES
00G846860MedicaidCA
G84686OtherCABC/BS OF CA
1568422558MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G84686 (California)Primary
2085R0204XRadiology - Vascular & Interventional Radiology G84686 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Paradise Valley HospitalNational city, CAHospital
Alvarado Hospital Medical CenterSan diego, CAHospital
Southern California Hospital At HollywoodHollywood, CAHospital
Ahmc Anaheim Regional Medical CenterAnaheim, CAHospital
Seton Medical CenterDaly city, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kc Tan, M.d. Medical Corporation206271971940

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 Jay Beckett Federhart allows following entities to bill medicare on his behalf.
Entity NameValley Radiology Consultants Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205897568
PECOS PAC ID: 4688572639
Enrollment ID: O20031229000627
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558463927
PECOS PAC ID: 3577476761
Enrollment ID: O20040107000584
Entity NameKern Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700821972
PECOS PAC ID: 7214826460
Enrollment ID: O20040315000421
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameKc Tan, M.d. Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215394036
PECOS PAC ID: 2062719719
Enrollment ID: O20160324000980

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 Jay Beckett Federhart 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
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

Reviews and Comments


Radiology Doctors in San Diego, CA

Dr. Lejla Aganovic, MD
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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.
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Dr. Frank B. Hamlett, M.D.
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Medicare: Not Enrolled in Medicare
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Dr. Aaron Mathew Smith, MD
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Practice Location: 7910 Frost St, San Diego, CA 92123
Phone: 858-939-3600    
Dr. Paul S Schulman, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 4352 Trias St, San Diego, CA 92103
Phone: 619-997-8881    Fax: 619-795-9980
Dr. Alan L Lurie, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 501 Washington St, Ste 510, San Diego, CA 92103
Phone: 619-819-6501    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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