Logan Thomas Smith, CNP in Wapakoneta, OH - Medicare Nurse Practitioner

Logan Thomas Smith, CNP is a medicare enrolled "Nurse Practitioner - Family" in Wapakoneta, Ohio. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 1258 Bellefontaine St Ste A, Wapakoneta, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 739-1980.

Logan Thomas Smith is licensed to practice in Ohio (license number APRN.CNP.17702) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770964157.

Contact Information

	Logan Thomas Smith, CNP
	1258 Bellefontaine St Ste A, Wapakoneta, OH 45895
	(419) 739-1980
	(419) 739-1982

Map and Direction

Provider's Profile

Full Name	Logan Thomas Smith
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	1258 Bellefontaine St Ste A, Wapakoneta, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Logan Thomas Smith graduated from nursing school in 2015

NPI Data:

NPI Number: 1770964157
Provider Enumeration Date: 06/11/2015
Last Update Date: 11/20/2020

Medicare PECOS Information:

PECOS PAC ID: 2769796549
Enrollment ID: I20150806012944

Medical Identifiers

Medical identifiers for Logan Thomas Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770964157	NPI	-	NPPES
0139583	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA.17702-NP (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.17702 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Troy Hospital	Troy, OH	Hospital
Wilson Memorial Hospital	Sidney, OH	Hospital
Grand Lake Health System	Saint marys, OH	Hospital
Grandview And Southview Hospitals	Dayton, OH	Hospital
Kettering Medical Center - Sycamore	Miamisburg, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	586

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. Logan Thomas Smith allows following entities to bill medicare on his behalf.

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Logan Thomas Smith 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
Logan Thomas Smith, CNP 600 W Main St Ste 340, Troy, OH 45373-3384 Ph: (937) 980-7460	Logan Thomas Smith, CNP 1258 Bellefontaine St Ste A, Wapakoneta, OH 45895 Ph: (419) 739-1980

Reviews and Comments

Nurse Practitioner Nurses in Wapakoneta, OH

Mrs. Samantha Paige Gruber, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16 E Auglaize St, Wapakoneta, OH 45895 Phone: 567-356-4400
Nicole Stephens, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1321 Bellefontaine St Ste 100, Wapakoneta, OH 45895 Phone: 567-356-4054 Fax: 567-356-4056
Kaitlin A Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 Bellefontaine St Ste 100, Wapakoneta, OH 45895 Phone: 567-356-4054 Fax: 567-356-4056
Michelle K. Katterheinrich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Defiance St, Wapakoneta, OH 45895 Phone: 419-996-5122 Fax: 419-996-5123
Savannaha R Crish, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 W Redskin Trl, Wapakoneta, OH 45895 Phone: 419-738-5151 Fax: 419-941-1092
Shannan L Robenalt, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1015 S Blackhoof St Ste B, Wapakoneta, OH 45895 Phone: 419-998-8299 Fax: 419-998-8266
Marjorie Frances Georgin, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 Bellefontaine St, Wapakoneta, OH 45895 Phone: 567-356-4054

Logan Thomas Smith, CNP - Medicare Nurse Practitioner in Wapakoneta, OH