Dr Gregory Mark Logid, PHD is a medicare enrolled "Psychologist - Clinical" provider in Phoenix, Arizona. His current practice location is
755 E Mcdowell Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 521-3300.
Dr Gregory Mark Logid is licensed to practice in Arizona (license number PSY-005119) 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 1265746226.
Healthcare Provider's Profile
| Full Name | Dr Gregory Mark Logid |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 755 E Mcdowell Rd, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265746226
- Provider Enumeration Date: 08/02/2010
- Last Update Date: 08/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0042542797
- Enrollment ID: I20191029002856
Medical Identifiers
Medical identifiers for Dr Gregory Mark Logid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265746226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-005119 (Arizona) | 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. Dr Gregory Mark Logid allows following entities to bill medicare on his behalf.
| Entity Name | Banner - University Physician Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437529245
PECOS PAC ID: 5991008054
Enrollment ID: O20160122001476 |
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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. Dr Gregory Mark Logid 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 |
|---|
Dr Gregory Mark Logid, PHD
755 E Mcdowell Rd,
Phoenix, AZ 85006
Ph: (602) 521-3300 | Dr Gregory Mark Logid, PHD
755 E Mcdowell Rd,
Phoenix, AZ 85006
Ph: (602) 521-3300 |
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