Connor Collins Kellogg, FNP in Watertown, NY - Medicare Nurse Practitioner

Connor Collins Kellogg, FNP is a medicare enrolled "Nurse Practitioner - Family" in Watertown, New York. His current practice location is 53-59 Public Sq Ste 301, Watertown, New York. You can reach out to his office (for appointments etc.) via phone at (315) 782-2141.

Connor Collins Kellogg is licensed to practice in New York (license number 350662) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467166736.

Contact Information

	Connor Collins Kellogg, FNP
	53-59 Public Sq Ste 301, Watertown, NY 13601-2674
	(315) 782-2141
	(315) 782-5123

Map and Direction

Provider's Profile

Full Name	Connor Collins Kellogg
Gender	Male
Speciality	Nurse Practitioner - Family
Location	53-59 Public Sq Ste 301, Watertown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467166736
Provider Enumeration Date: 01/10/2023
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3476926197
Enrollment ID: I20230228002291

Medical Identifiers

Medical identifiers for Connor Collins Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467166736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	350662 (New York)	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. Connor Collins Kellogg allows following entities to bill medicare on his behalf.

Entity Name	Watertown Internists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609844463 PECOS PAC ID: 1355491606 Enrollment ID: O20090609000299

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. Connor Collins 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
Connor Collins Kellogg, FNP 53-59 Public Sq Ste 301, Watertown, NY 13601-2674 Ph: (315) 782-2141	Connor Collins Kellogg, FNP 53-59 Public Sq Ste 301, Watertown, NY 13601-2674 Ph: (315) 782-2141

Reviews and Comments

Nurse Practitioner Nurses in Watertown, NY

Michaela Duffy Mccargar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19472 Us-11, Suite N 101, Watertown, NY 13601 Phone: 315-786-1924
Mrs. Linda M Moser, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 Public Sq, Suite 201, Watertown, NY 13601 Phone: 315-782-4950 Fax: 315-782-3699
Ms. Sue A Carley-graves, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19320 Us Route 11, Watertown, NY 13601 Phone: 315-786-0254 Fax: 315-786-0976
Desiree Starr Fuller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1575 Washington St, Watertown, NY 13601 Phone: 315-785-4155 Fax: 315-779-5066
Miss Bonnie L Servage, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53-59 Public Sq, Ste 301, Watertown, NY 13601 Phone: 315-782-2141 Fax: 315-782-5123
Jennifer Blaze Laclair, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26561 State Route 3, Watertown, NY 13601 Phone: 315-782-7246 Fax: 315-782-7247
Kimberly Ann Noragong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 238 Arsenal St, Watertown, NY 13601 Phone: 315-782-9450

Connor Collins Kellogg, FNP - Medicare Nurse Practitioner in Watertown, NY