Alexandra L Kellogg, DO in Pueblo, CO - Medicare Family Medicine

Alexandra L Kellogg, DO is a medicare enrolled "Family Medicine" physician in Pueblo, Colorado. Her current practice location is 902 Lakeview Ave, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 557-5855.

Alexandra L Kellogg is licensed to practice in Oregon (license number DO212668) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427518687.

Contact Information

	Alexandra L Kellogg, DO
	902 Lakeview Ave, Pueblo, CO 81004-3597
	(719) 557-5855
	(719) 557-5097

Map and Direction

Physician's Profile

Full Name	Alexandra L Kellogg
Gender	Female
Speciality	Family Medicine
Location	902 Lakeview Ave, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427518687
Provider Enumeration Date: 03/23/2019
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9032440920
Enrollment ID: I20230908001539

Medical Identifiers

Medical identifiers for Alexandra L Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427518687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DR.0071650 (Colorado)	Secondary
207Q00000X	Family Medicine	DO212668 (Oregon)	Primary

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. Alexandra L Kellogg allows following entities to bill medicare on her behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

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. Alexandra L Kellogg 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
Alexandra L Kellogg, DO 123 Hendersonville Rd, Asheville, NC 28803-2868 Ph: (828) 257-4730	Alexandra L Kellogg, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5855

Reviews and Comments

Family Medicine Doctors in Pueblo, CO

Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872
Dr. Queenter Kisang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-553-1804 Fax: 833-916-2047
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340
Dr. Terry Liefde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183

Alexandra L Kellogg, DO - Medicare Family Medicine in Pueblo, CO