Colton Thomas Kellogg, PT, DPT, CSCS in Erie, PA - Medicare Physical Therapist Provider

Colton Thomas Kellogg, PT, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Erie, Pennsylvania. His current practice location is 2307 W 12th St, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 528-5667.

Colton Thomas Kellogg is licensed to practice in Pennsylvania (license number PT031289) 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 1588340814.

Contact Information

	Colton Thomas Kellogg, PT, DPT, CSCS
	2307 W 12th St, Erie, PA 16505-4539
	(814) 528-5667
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Colton Thomas Kellogg
Gender	Male
Speciality	Physical Therapist
Location	2307 W 12th St, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588340814
Provider Enumeration Date: 06/22/2023
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 5698136984
Enrollment ID: I20230802004428

Medical Identifiers

Medical identifiers for Colton Thomas Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588340814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT031289 (Pennsylvania)	Secondary
225100000X	Physical Therapist	PT031289 (Pennsylvania)	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. Colton Thomas Kellogg allows following entities to bill medicare on his behalf.

Provider Name	Rise Up Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609364165 PECOS PAC ID: 7810302593 Enrollment ID: O20210210000463

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. Colton Thomas 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
Colton Thomas Kellogg, PT, DPT, CSCS 2307 W 12th St, Erie, PA 16505-4539 Ph: (814) 528-5667	Colton Thomas Kellogg, PT, DPT, CSCS 2307 W 12th St, Erie, PA 16505-4539 Ph: (814) 528-5667

Reviews and Comments

Physical Therapist in Erie, PA

Mr. Mark R Kresse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 W 36th St, Erie, PA 16508 Phone: 814-454-7433
Bobby Lee Rainey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Sterrettania Rd, Erie, PA 16506 Phone: 814-456-6000 Fax: 814-456-6060
Mr. Michael Steven Wahoff, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4950 Buffalo Rd Ste 104, Erie, PA 16510 Phone: 814-899-7000 Fax: 814-898-2198
Jessica Leigh Jones, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8270 Peach St Ste 400, Erie, PA 16509 Phone: 814-841-5250
Erie County Care Management Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 W 8th St, Erie, PA 16501 Phone: 814-451-8400
Elizabeth Meighen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1645 W 8th St, Erie, PA 16505 Phone: 814-875-8700
Courtney Mackowski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3010 W Lake Rd, Erie, PA 16505 Phone: 814-833-2385

Colton Thomas Kellogg, PT, DPT, CSCS - Medicare Physical Therapist in Erie, PA