Logan Stackhouse, is a medicare enrolled "Dietitian, Registered" provider in Mount Ayr, Iowa. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
2325 210th St, Mount Ayr, Iowa. You can reach out to her office (for appointments etc.) via phone at
(386) 507-5449.
Logan Stackhouse is licensed to practice in Florida (license number ND8320) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1346961125.
Healthcare Provider's Profile
| Full Name | Logan Stackhouse |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 9 Years |
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| Location | 2325 210th St, Mount Ayr, Iowa |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Logan Stackhouse graduated from medical school in 2017
NPI Data:
- NPI Number: 1346961125
- Provider Enumeration Date: 09/08/2022
- Last Update Date: 04/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 7416427273
- Enrollment ID: I20260521004475
Medical Identifiers
Medical identifiers for Logan Stackhouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346961125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | ND8320 (Florida) | 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 Stackhouse allows following entities to bill medicare on her behalf.
| Provider Name | Greater Regional Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902805062
PECOS PAC ID: 9234041013
Enrollment ID: O20040205000926 |
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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. Logan Stackhouse 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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Logan Stackhouse,
2325 210th St,
Mount Ayr, IA 50854-8891
Ph: (386) 507-5449 | Logan Stackhouse,
2325 210th St,
Mount Ayr, IA 50854-8891
Ph: (386) 507-5449 |
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