Fredric Russell Kellogg, MD in New York, NY

Fredric Russell Kellogg, MD is a Internal Medicine physician based in New York, New York. Fredric Russell Kellogg is licensed to practice in New York (license number 125401) and his current practice location is 222 W 14th St, New York, New York. He can be reached at his office (for appointments etc.) via phone at (212) 604-1800.

NPI number for Fredric Russell Kellogg is 1053341735 and his current mailing address is 30 W 13th St, #2c, New York, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053341735.

Contact Information

	Fredric Russell Kellogg, MD
	222 W 14th St, New York, NY 10011-7200
	(212) 604-1800
	(212) 604-1892

Map and Direction

Physician's Profile

Full Name	Fredric Russell Kellogg
Gender	Male
Speciality	Internal Medicine
Location	222 W 14th St, New York, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1053341735
Provider Enumeration Date: 07/05/2006
Last Update Date: 07/26/2010

Medical Identifiers

Medical identifiers for Fredric Russell Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053341735	NPI	-	NPPES
00520383	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125401 (New York)	Primary

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. Fredric Russell Kellogg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fredric Russell Kellogg, MD 30 W 13th St, #2c, New York, NY 10011-7912 Ph: (212) 604-8026	Fredric Russell Kellogg, MD 222 W 14th St, New York, NY 10011-7200 Ph: (212) 604-1800

Reviews and Comments

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Fredric Russell Kellogg, MD - Internal Medicine in New York, NY