Mr Garrett David Kellogg, PA is a medicare enrolled "Physician Assistant" in Kinsman, Ohio. His current practice location is
6804 Kinsman Nickerson Rd, Kinsman, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 240-6436.
Mr Garrett David Kellogg is licensed to practice in Ohio (license number 50.008358RX) 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 1467136218.
Provider's Profile
Full Name | Mr Garrett David Kellogg |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 6804 Kinsman Nickerson Rd, Kinsman, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467136218
- Provider Enumeration Date: 06/12/2023
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466806849
- Enrollment ID: I20231004001226
Medical Identifiers
Medical identifiers for Mr Garrett David Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467136218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 50.008358RX (Ohio) | 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. Mr Garrett David 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 |
Mr Garrett David Kellogg, PA 6804 Kinsman Nickerson Rd, Kinsman, OH 44428-9511 Ph: (330) 240-6436 | Mr Garrett David Kellogg, PA 6804 Kinsman Nickerson Rd, Kinsman, OH 44428-9511 Ph: (330) 240-6436 |
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