Amanda L Kellogg, NP in Midland, MI - Medicare Nurse Practitioner

Amanda L Kellogg, NP is a medicare enrolled "Nurse Practitioner" in Midland, Michigan. Her current practice location is 3007 N Saginaw Rd, Midland, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 633-1400.

Amanda L Kellogg is licensed to practice in Michigan (license number 4704287024) 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 1144730581.

Contact Information

	Amanda L Kellogg, NP
	3007 N Saginaw Rd, Midland, MI 48640-4555
	(989) 633-1400
	(989) 633-1457

Map and Direction

Provider's Profile

Full Name	Amanda L Kellogg
Gender	Female
Speciality	Nurse Practitioner
Location	3007 N Saginaw Rd, Midland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144730581
Provider Enumeration Date: 10/11/2017
Last Update Date: 10/11/2017

Medicare PECOS Information:

PECOS PAC ID: 3678832011
Enrollment ID: I20180110003452

Medical Identifiers

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

Identifier	Type	State	Issuer
1144730581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704287024 (Michigan)	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. Amanda L Kellogg allows following entities to bill medicare on her behalf.

Entity Name	Mymichigan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740230127 PECOS PAC ID: 4981501939 Enrollment ID: O20040126000905

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. Amanda 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
Amanda L Kellogg, NP 3007 N Saginaw Rd, Midland, MI 48640-4555 Ph: (989) 633-1400	Amanda L Kellogg, NP 3007 N Saginaw Rd, Midland, MI 48640-4555 Ph: (989) 633-1400

Reviews and Comments

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Amanda L Kellogg, NP - Medicare Nurse Practitioner in Midland, MI