Dr Logan Benjamin Greenblatt, MD in Providence, RI

Dr Logan Benjamin Greenblatt, MD is a medicare enrolled "Pediatrics" physician in Providence, Rhode Island. His current practice location is 111 Plain Street 3rd Floor Suite 101, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-5504.

Dr Logan Benjamin Greenblatt is licensed to practice in New York (license number 330544) 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 1447839923.

Contact Information

	Dr Logan Benjamin Greenblatt, MD
	111 Plain Street 3rd Floor Suite 101, Providence, RI 02902-3436
	(401) 444-5504
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Logan Benjamin Greenblatt
Gender	Male
Speciality	Pediatrics
Location	111 Plain Street 3rd Floor Suite 101, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447839923
Provider Enumeration Date: 04/03/2021
Last Update Date: 07/09/2025

Medicare PECOS Information:

PECOS PAC ID: 6709312671
Enrollment ID: I20241216002709

Medical Identifiers

Medical identifiers for Dr Logan Benjamin Greenblatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447839923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	330544 (New York)	Primary
2080P0205X	Pediatrics - Pediatric Endocrinology	LP06489 (Rhode Island)	Secondary

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 Logan Benjamin Greenblatt allows following entities to bill medicare on his behalf.

Entity Name	North Shore-lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 Logan Benjamin Greenblatt 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 Logan Benjamin Greenblatt, MD 372 Central Park W Apt 18r, New York, NY 10025-8212 Ph: () -	Dr Logan Benjamin Greenblatt, MD 111 Plain Street 3rd Floor Suite 101, Providence, RI 02902-3436 Ph: (401) 444-5504

Reviews and Comments

Pediatrics Doctors in Providence, RI

Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804

Dr Logan Benjamin Greenblatt, MD - Medicare Pediatrics in Providence, RI