| Lisa S Kellogg, DO | |
|
1531 Hunt Club Blvd Ste 100, Gallatin, TN 37066-6096 | |
| (615) 431-9930 | |
| (615) 431-9940 |
| Full Name | Lisa S Kellogg |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 1531 Hunt Club Blvd Ste 100, Gallatin, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720034127 | NPI | - | NPPES |
| P00419528 | Other | RAILROAD MEDICARE | |
| 33000032 | Medicaid | TN | |
| 33000031 | Other | TN | MEDICARE TAX ID 201119913 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1755 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Hendersonville Medical Center | Hendersonville, TN | Hospital |
| Sumner Regional Medical Center | Gallatin, TN | Hospital |
| Tristar Skyline Medical Center | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Diagnostic Imaging Pc | 7315848140 | 528 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa S Kellogg, DO 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Lisa S Kellogg, DO 1531 Hunt Club Blvd Ste 100, Gallatin, TN 37066-6096 Ph: (615) 431-9930 |
Jeffrie C Kindred, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Big Station Camp Blvd, Gallatin, TN 37066 Phone: 615-328-3380 | |
Dr. Stephen V Bennett, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Steam Plant Rd, Suite 300, Gallatin, TN 37066 Phone: 615-230-8070 Fax: 615-452-1774 | |
Subir Guha, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 Commons Dr, Ste A, Gallatin, TN 37066 Phone: 615-452-5901 Fax: 615-451-2006 | |
Mr. Goodloe Summers Chaffin Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 556 Hartsville Pike Ste 200, Gallatin, TN 37066 Phone: 615-227-3000 | |
Brian J Stuart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Saint Blaise Rd Ste 200, Gallatin, TN 37066 Phone: 615-230-8070 Fax: 615-452-1774 | |
Dr. Michael Sean Kellogg, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1531 Hunt Club Blvd Ste 100, Gallatin, TN 37066 Phone: 615-431-9930 | |
Dr. Kymberly Brooke Moyer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1529 Hunt Club Blvd Ste 100, Gallatin, TN 37066 Phone: 615-852-6480 |