Logan Raichle, in Southport, NC - Medicare Physical Therapist Provider

Logan Raichle, is a medicare enrolled "Physical Therapist" provider in Southport, North Carolina. His current practice location is 5013 Southport Crossing Way Ste 204, Southport, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 604-9550.

Logan Raichle is licensed to practice in * (Not Available) (license number ) 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 1104609148.

Contact Information

	Logan Raichle,
	5013 Southport Crossing Way Ste 204, Southport, NC 28461-2206
	(910) 604-9550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Raichle
Gender	Male
Speciality	Physical Therapist
Location	5013 Southport Crossing Way Ste 204, Southport, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104609148
Provider Enumeration Date: 08/15/2023
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3476900945
Enrollment ID: I20231106003286

Medical Identifiers

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

Identifier	Type	State	Issuer
1104609148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Logan Raichle allows following entities to bill medicare on his behalf.

Provider Name	Benchmark Physical Therapy Of North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356894604 PECOS PAC ID: 1052609278 Enrollment ID: O20161004000926

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 Raichle 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 Raichle, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 558-0076	Logan Raichle, 5013 Southport Crossing Way Ste 204, Southport, NC 28461-2206 Ph: (910) 604-9550

Reviews and Comments

Physical Therapist in Southport, NC

Jacob Kramell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236
Michelle Lee Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824
Angela Marie Doyle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1517 N Howe St, Southport, NC 28461 Phone: 910-519-8380
Amanda Mcearl Tilyou, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 Fax: 910-477-6357
Mr. Nikolos William Boehmer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4330 Southport Supply Road, Suite 201, Southport, NC 28461 Phone: 910-457-0113 Fax: 910-457-0114
Dr. Makaela Nelson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 Fax: 910-477-6357

Logan Raichle, - Medicare Physical Therapist in Southport, NC