Mrs Shawntel Logan, NP in Victorville, CA - Medicare Nurse Practitioner

Mrs Shawntel Logan, NP is a medicare enrolled "Nurse Practitioner - Family" in Victorville, California. Her current practice location is 12760 Hesperia Rd Ste C, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 338-0911.

Mrs Shawntel Logan is licensed to practice in California (license number 95016075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013513522.

Contact Information

	Mrs Shawntel Logan, NP
	12760 Hesperia Rd Ste C, Victorville, CA 92395-8305
	(760) 338-0911
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shawntel Logan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12760 Hesperia Rd Ste C, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013513522
Provider Enumeration Date: 12/09/2020
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2062812134
Enrollment ID: I20210610001732

Medical Identifiers

Medical identifiers for Mrs Shawntel Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013513522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95016075 (California)	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. Mrs Shawntel Logan allows following entities to bill medicare on her behalf.

Entity Name	Cal Med Physicians And Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316054737 PECOS PAC ID: 4385556687 Enrollment ID: O20031104000708

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Mrs Shawntel 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
Mrs Shawntel Logan, NP 12760 Hesperia Rd Ste C, Victorville, CA 92395-8305 Ph: () -	Mrs Shawntel Logan, NP 12760 Hesperia Rd Ste C, Victorville, CA 92395-8305 Ph: (760) 338-0911

Reviews and Comments

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Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383
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Mrs Shawntel Logan, NP - Medicare Nurse Practitioner in Victorville, CA