Davis Logan, SWLC, MSW in Missoula, MT - Medicare Social Worker Provider

Davis Logan, SWLC, MSW is a medicare enrolled "Social Worker - Clinical" provider in Missoula, Montana. His current practice location is 14 Charis Ln, Missoula, Montana. You can reach out to his office (for appointments etc.) via phone at (313) 802-1073.

Davis Logan is licensed to practice in Montana (license number 44181) 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 1275297939.

Contact Information

	Davis Logan, SWLC, MSW
	14 Charis Ln, Missoula, MT 59802-3516
	(313) 802-1073
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Davis Logan
Gender	Male
Speciality	Social Worker - Clinical
Location	14 Charis Ln, Missoula, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275297939
Provider Enumeration Date: 10/27/2021
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3072056431
Enrollment ID: I20240613004433

Medical Identifiers

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

Identifier	Type	State	Issuer
1275297939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44181 (Montana)	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. Davis Logan allows following entities to bill medicare on his behalf.

Entity Name	Missoula Therapy Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225528110 PECOS PAC ID: 1254686025 Enrollment ID: O20180619001875

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. Davis Logan 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
Davis Logan, SWLC, MSW 14 Charis Ln, Missoula, MT 59802-3516 Ph: (313) 802-1073	Davis Logan, SWLC, MSW 14 Charis Ln, Missoula, MT 59802-3516 Ph: (313) 802-1073

Reviews and Comments

Social Worker in Missoula, MT

Jennifer Walrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 Hillcrest Loop, Missoula, MT 59803 Phone: 406-529-7776 Fax: 866-776-9460
Jocelyn Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 S 3rd St W, Missoula, MT 59801 Phone: 406-240-3732
Jennifer Nichole Tuttle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 N California St Apt 407, Missoula, MT 59801 Phone: 919-395-2269
Mckenna Leigh Fromm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3885 W Broadway St, Missoula, MT 59808 Phone: 406-465-8725
Mark Christopher Wayne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-830-5584
Ms. Kaitlyn Nina Bosshardt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732
Calia Ivy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Dixon Ave, Missoula, MT 59801 Phone: 928-637-8354

Davis Logan, SWLC, MSW - Medicare Clinical Social Worker in Missoula, MT