Mr Jeremy D Logsdon, CNP- FAMILY is a medicare enrolled "Nurse Practitioner - Family" in Alva, Oklahoma. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
604 Choctaw St, Alva, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 327-1118.
Mr Jeremy D Logsdon is licensed to practice in Oklahoma (license number 86008) 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 1013574789.
Provider's Profile
| Full Name | Mr Jeremy D Logsdon |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 604 Choctaw St, Alva, Oklahoma |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Jeremy D Logsdon graduated from nursing school in 2019
NPI Data:
- NPI Number: 1013574789
- Provider Enumeration Date: 05/28/2019
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658608880
- Enrollment ID: I20190812001791
Medical Identifiers
Medical identifiers for Mr Jeremy D Logsdon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013574789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 86008 (Oklahoma) | Primary |
Medical Facilities Affiliation
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. Mr Jeremy D Logsdon allows following entities to bill medicare on his behalf.
| Entity Name | Alva Health And Wellness Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134827660
PECOS PAC ID: 4486019627
Enrollment ID: O20230424000638 |
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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. Mr Jeremy D Logsdon 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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Mr Jeremy D Logsdon, CNP- FAMILY
604 Choctaw St,
Alva, OK 73717-1626
Ph: (580) 327-1118 | Mr Jeremy D Logsdon, CNP- FAMILY
604 Choctaw St,
Alva, OK 73717-1626
Ph: (580) 327-1118 |
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