Casey Douglas Logan, MD in Monroeville, PA

Casey Douglas Logan, MD is a medicare enrolled "Dermatology" physician in Monroeville, Pennsylvania. His current practice location is 2790 Mosside Blvd Ste 720, Monroeville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 372-2770.

Casey Douglas Logan is licensed to practice in Pennsylvania (license number MD479164) 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 1245727692.

Contact Information

	Casey Douglas Logan, MD
	2790 Mosside Blvd Ste 720, Monroeville, PA 15146-2757
	(412) 372-2770
	(412) 372-4656

Map and Direction

Physician's Profile

Full Name	Casey Douglas Logan
Gender	Male
Speciality	Dermatology
Location	2790 Mosside Blvd Ste 720, Monroeville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245727692
Provider Enumeration Date: 04/20/2018
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 5991052227
Enrollment ID: I20220912003859

Medical Identifiers

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

Identifier	Type	State	Issuer
1245727692	NPI	-	NPPES
1040784250001	Medicaid	PA
1040784250002	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD479164 (Pennsylvania)	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. Casey Douglas Logan allows following entities to bill medicare on his behalf.

Entity Name	Forefront Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720443211 PECOS PAC ID: 3779471701 Enrollment ID: O20160209002503

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. Casey Douglas 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
Casey Douglas Logan, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Casey Douglas Logan, MD 2790 Mosside Blvd Ste 720, Monroeville, PA 15146-2757 Ph: (412) 372-2770

Reviews and Comments

Dermatology Doctors in Monroeville, PA

Claire Regan Brown, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2790 Mosside Blvd Ste 705, Monroeville, PA 15146 Phone: 412-372-2770 Fax: 412-372-4656
Dr. Ezra David Mirvish, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2790 Mosside Blvd Ste 720, Monroeville, PA 15146 Phone: 412-372-2770 Fax: 412-372-4656
Lisa A Goldberg, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2790 Mosside Blvd Ste 720, Monroeville, PA 15146 Phone: 412-372-2770 Fax: 412-372-4656
Jeffrey G Weaver, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2790 Mosside Blvd, Suite 105, Monroeville, PA 15146 Phone: 412-372-2277 Fax: 412-373-2307
Andrew Hankinson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2790 Mosside Blvd Ste 720, Monroeville, PA 15146 Phone: 412-372-2770 Fax: 412-372-4656
Carol K Roper, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2790 Mosside Blvd, Ste 105, Monroeville, PA 15146 Phone: 412-372-2277 Fax: 412-373-2307

Casey Douglas Logan, MD - Medicare Dermatology in Monroeville, PA