Jacquelyn Kay Kellogg, MA, LLP in Grandville, MI - Medicare Psychologist Provider

Jacquelyn Kay Kellogg, MA, LLP is a medicare enrolled "Psychologist" provider in Grandville, Michigan. Her current practice location is 6018 Cornerstone Ct Sw, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 340-1061.

Jacquelyn Kay Kellogg is licensed to practice in Massachusetts (license number ) 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 1861413668.

Contact Information

	Jacquelyn Kay Kellogg, MA, LLP
	6018 Cornerstone Ct Sw, Grandville, MI 49418-3314
	(616) 340-1061
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Kay Kellogg
Gender	Female
Speciality	Psychologist
Location	6018 Cornerstone Ct Sw, Grandville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861413668
Provider Enumeration Date: 07/21/2006
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 8820435845
Enrollment ID: I20240326001182

Medical Identifiers

Medical identifiers for Jacquelyn Kay Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861413668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(Massachusetts)	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. Jacquelyn Kay Kellogg allows following entities to bill medicare on her behalf.

Entity Name	Jacquelyn Kellogg, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023714409 PECOS PAC ID: 7911344932 Enrollment ID: O20240326001042

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. Jacquelyn Kay 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
Jacquelyn Kay Kellogg, MA, LLP 6018 Cornerstone Ct, Grandville, MI 49418 Ph: (616) 340-1061	Jacquelyn Kay Kellogg, MA, LLP 6018 Cornerstone Ct Sw, Grandville, MI 49418-3314 Ph: (616) 340-1061

Reviews and Comments

Psychologist in Grandville, MI

Dr. Trisha Nichole Tanis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418 Phone: 616-591-9400
Maha Baalbaki, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418 Phone: 616-591-9400
Jamie Leigh Wieber, PH.D., LLP Psychologist Medicare: Medicare Enrolled Practice Location: 4211 Parkway Place, Grandville, MI 49418 Phone: 616-222-3700
Kristin M Mecklenburg, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4175 Parkway Place Dr Sw Ste 100, Grandville, MI 49418 Phone: 616-371-5166
Mr. Tommie Earl Johnson, LLMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418 Phone: 616-222-5300 Fax: 616-531-0447
Dr. Abraham Bilyeu, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 4565 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-528-0354
Ms. Valerie D Stevenson, MA, TLLP, LLC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418 Phone: 616-298-3472

Jacquelyn Kay Kellogg, MA, LLP - Medicare Psychologist in Grandville, MI