Mr Garrett David Kellogg, PA in Kinsman, OH - Medicare Physician Assistant

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.

Contact Information

	Mr Garrett David Kellogg, PA
	6804 Kinsman Nickerson Rd, Kinsman, OH 44428-9511
	(330) 240-6436
	Not Available

Provider's Profile

Full Name	Mr Garrett David Kellogg
Gender	Male
Speciality	Physician Assistant
Location	6804 Kinsman Nickerson Rd, Kinsman, Ohio
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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Mr Garrett David Kellogg, PA - Medicare Physician Assistant in Kinsman, OH