Jalinia Logan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mokena, Illinois. Her current practice location is
9435 Bormet Dr, Mokena, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 995-7226.
Jalinia Logan is licensed to practice in Illinois (license number 149021972) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316587520.
Healthcare Provider's Profile
| Full Name | Jalinia Logan |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 9435 Bormet Dr, Mokena, Illinois |
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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: 1316587520
- Provider Enumeration Date: 01/15/2020
- Last Update Date: 03/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416378708
- Enrollment ID: I20200521001513
Medical Identifiers
Medical identifiers for Jalinia Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316587520 | NPI | - | NPPES |
| 27-4113346 | Other | IL | GREAT CHANGES COUNSELING SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 164W00000X | Licensed Practical Nurse | 043105752 (Illinois) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149021972 (Illinois) | 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. Jalinia Logan allows following entities to bill medicare on her behalf.
| Entity Name | Mathers Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316237530
PECOS PAC ID: 7214111582
Enrollment ID: O20110411000671 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220414000139 |
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| Entity Name | Sondermind Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003646977
PECOS PAC ID: 0547795791
Enrollment ID: O20241125001063 |
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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. Jalinia 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 |
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Jalinia Logan, LCSW
5640 W 103rd St,
Oak Lawn, IL 60453-4579
Ph: (773) 544-3951 | Jalinia Logan, LCSW
9435 Bormet Dr,
Mokena, IL 60448-8363
Ph: (708) 995-7226 |
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