Ms Tara Marie Kellogg, in Ft Lauderdale, FL - Medicare Marriage & Family Therapist Provider

Ms Tara Marie Kellogg, is a medicare enrolled "Marriage & Family Therapist" provider in Ft Lauderdale, Florida. Her current practice location is 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 587-1008.

Ms Tara Marie Kellogg is licensed to practice in Florida (license number MT2003) 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 1023267416.

Contact Information

	Ms Tara Marie Kellogg,
	3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048
	(954) 587-1008
	(954) 587-0080

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tara Marie Kellogg
Gender	Female
Speciality	Marriage & Family Therapist
Location	3521 W Broward Blvd, Ft Lauderdale, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023267416
Provider Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008

Medicare PECOS Information:

PECOS PAC ID: 3779928320
Enrollment ID: I20240319000390

Medical Identifiers

Medical identifiers for Ms Tara Marie Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023267416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MT2003 (Florida)	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. Ms Tara Marie Kellogg allows following entities to bill medicare on her behalf.

Entity Name	Vytalyze Minds, Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588275150 PECOS PAC ID: 3779972583 Enrollment ID: O20211117001443

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. Ms Tara Marie 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
Ms Tara Marie Kellogg, 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048 Ph: (954) 587-1008	Ms Tara Marie Kellogg, 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048 Ph: (954) 587-1008

Reviews and Comments

Marriage & Family Therapist in Ft Lauderdale, FL

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Lily T Rosenblatt, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3325 Oak Hill St, Ft Lauderdale, FL 33312 Phone: 954-540-1119

Ms Tara Marie Kellogg, - Medicare Couples Therapy in Ft Lauderdale, FL