Kalie Marie Price-kellogg, PA-C is a medicare enrolled "Physician Assistant" in Clayton, New York. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Samaritan Medical Center and her current practice location is
909 Strawberry Ln, Clayton, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 686-2094.
Kalie Marie Price-kellogg is licensed to practice in New York (license number 030765) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790416311.
Provider's Profile
| Full Name | Kalie Marie Price-kellogg |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 909 Strawberry Ln, Clayton, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kalie Marie Price-kellogg graduated from nursing school in 2023
NPI Data:
- NPI Number: 1790416311
- Provider Enumeration Date: 06/23/2022
- Last Update Date: 12/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082063896
- Enrollment ID: I20231205002889
Medical Identifiers
Medical identifiers for Kalie Marie Price-kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790416311 | NPI | - | NPPES |
| 07734201 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 030765 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Samaritan Medical Center | 8123914876 | 138 |
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. Kalie Marie Price-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 |
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Kalie Marie Price-kellogg, PA-C
909 Strawberry Ln,
Clayton, NY 13624-1409
Ph: () - | Kalie Marie Price-kellogg, PA-C
909 Strawberry Ln,
Clayton, NY 13624-1409
Ph: (315) 686-2094 |
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