Brian C Kellogg, MD | |
13535 Nemours Pkwy, Orlando, FL 32827-7402 | |
(407) 567-4000 | |
(407) 567-5924 |
Full Name | Brian C Kellogg |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 13535 Nemours Pkwy, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386962561 | NPI | - | NPPES |
0222015 | Medicaid | OH | |
100193900 | Medicaid | FL | |
H556010 | Other | OH | CGS-MEDICARE |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
Mailing Address | Practice Location Address |
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Brian C Kellogg, MD 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4127 | Brian C Kellogg, MD 13535 Nemours Pkwy, Orlando, FL 32827-7402 Ph: (407) 567-4000 |
Dr. Christopher Dean Prevel, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5979 Vineland Rd, Suite 114, Orlando, FL 32819 Phone: 407-352-1818 Fax: 407-352-1814 | |
Dr. Kenrick Anthony Spence I, M.D., F.A.C.S. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Hillcrest St, Orlando, FL 32801 Phone: 407-999-2585 Fax: 407-999-2628 | |
Dr. Luis Alejandro Jaramillo, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14050 Town Loop Blvd, Suite 204, Orlando, FL 32837 Phone: 407-251-8800 | |
Dr. Angelo Alberto Leto Barone, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 6535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-567-5924 | |
Dr. Jerry Alan Rubin, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6900 Turkey Lake Rd, Suite 1-7, Orlando, FL 32819 Phone: 321-939-3300 Fax: 321-939-3303 | |
Dr. Florencio Jorge Gonzalez, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3100 Clay Ave, Suite # 299, Orlando, FL 32804 Phone: 407-447-1628 | |
Dr. Omar E Beidas, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 265 E Rollins St Ste 5300, Orlando, FL 32804 Phone: 407-821-3555 Fax: 407-821-3556 |