Logan Debord, MD is a medicare enrolled "Dermatology" physician in Frisco, Colorado. He went to Baylor College Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Bella Derma, Llc, Epiphany Dermatology Of Colorado Llc and his current practice location is
984 N 10 Mile Dr, #103, Frisco, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 668-0998.
Logan Debord is licensed to practice in Colorado (license number DR.0069923) 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 1104387794.
Physician's Profile
| Full Name | Logan Debord |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 6 Years |
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| Location | 984 N 10 Mile Dr, Frisco, Colorado |
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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. |
Medical Education and Training:
- Logan Debord attended and graduated from Baylor College Of Medicine in 2019
NPI Data:
- NPI Number: 1104387794
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739504945
- Enrollment ID: I20230331001926
Medical Identifiers
Medical identifiers for Logan Debord such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104387794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | DR.0069923 (Colorado) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Bella Derma, Llc | 2466424072 | 14 |
| Epiphany Dermatology Of Colorado Llc | 8921354341 | 17 |
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 Debord allows following entities to bill medicare on his behalf.
| Entity Name | Bella Derma, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730106642 PECOS PAC ID: 2466424072 Enrollment ID: O20040812000579 |
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| Entity Name | Epiphany Dermatology Of Colorado Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992297469 PECOS PAC ID: 8921354341 Enrollment ID: O20180627001525 |
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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 Debord 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 |
Logan Debord, MD 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Logan Debord, MD 984 N 10 Mile Dr, #103, Frisco, CO 80443-5719 Ph: (970) 668-0998 |
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