Dr John Ryan Logan, MD is a medicare enrolled "Internal Medicine" physician in Gautier, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Singing River Health System, Singing River Gulfport and his current practice location is
2101 Highway 90, Gautier, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 809-5510.
Dr John Ryan Logan is licensed to practice in Mississippi (license number 21375) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801059381.
Physician's Profile
| Full Name | Dr John Ryan Logan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 16 Years |
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| Location | 2101 Highway 90, Gautier, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John Ryan Logan attended and graduated from University Of Mississippi School Of Medicine in 2008
NPI Data:
- NPI Number: 1801059381
- Provider Enumeration Date: 07/06/2008
- Last Update Date: 09/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 5597933176
- Enrollment ID: I20110726000641
Medical Identifiers
Medical identifiers for Dr John Ryan Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801059381 | NPI | - | NPPES |
| 21375 | Other | MS | MS STATE BOARD OF MEDICAL LICENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 21375 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Singing River Health System | 3870405194 | 156 |
| Singing River Gulfport | 5294154829 | 106 |
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 John Ryan Logan allows following entities to bill medicare on his behalf.
| Entity Name | Singing River Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083893937
PECOS PAC ID: 3870405194
Enrollment ID: O20031104000435 |
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| Entity Name | Singing River Gulfport |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861010159
PECOS PAC ID: 5294154829
Enrollment ID: O20201001001497 |
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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 John Ryan 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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Dr John Ryan Logan, MD
1812 Shelby Ln,
Ocean Springs, MS 39564-5055
Ph: (601) 624-8229 | Dr John Ryan Logan, MD
2101 Highway 90,
Gautier, MS 39553-5340
Ph: (228) 809-5510 |
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