Logan Chandler Blake, in Mobile, AL - Medicare Physical Therapy Provider

Logan Chandler Blake, is a medicare enrolled "Physical Therapist" provider in Mobile, Alabama. He graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Refine Pt And Performance Llc and his current practice location is 1717 Dauphin St, Mobile, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 270-1551.

Logan Chandler Blake is licensed to practice in Alabama (license number PTH10812) 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 1326786187.

Contact Information

	Logan Chandler Blake,
	1717 Dauphin St, Mobile, AL 36604-1307
	(251) 270-1551
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Chandler Blake
Gender	Male
Speciality	Physical Therapy
Experience	2 Years
Location	1717 Dauphin St, Mobile, Alabama
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 Chandler Blake graduated from medical school in 2022

NPI Data:

NPI Number: 1326786187
Provider Enumeration Date: 05/23/2022
Last Update Date: 05/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1759764970
Enrollment ID: I20220819001648

Medical Identifiers

Medical identifiers for Logan Chandler Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326786187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTH10812 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Refine Pt And Performance Llc	6103164967	12

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 Chandler Blake allows following entities to bill medicare on his behalf.

Provider Name	Refine Pt And Performance Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568930907 PECOS PAC ID: 6103164967 Enrollment ID: O20190220003455

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 Chandler Blake 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 Chandler Blake, 1717 Dauphin St, Mobile, AL 36604-1307 Ph: (251) 270-1551	Logan Chandler Blake, 1717 Dauphin St, Mobile, AL 36604-1307 Ph: (251) 270-1551

Reviews and Comments

Physical Therapist in Mobile, AL

Ms. Autumn Lynn Woods, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 N Florida St Ste 31, Mobile, AL 36607 Phone: 251-300-8874 Fax: 251-308-3126
Ms. Tanya Adams Lawrence, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2048a S Broad St, Brookley Complex, Mobile, AL 36615 Phone: 251-433-1414 Fax: 251-433-9634
Dr. Jeremy Chad Fletcher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5271 Usa Dr N, Hahn 2050, Mobile, AL 36688 Phone: 251-445-9378 Fax: 251-445-9377
Benchmark Physical Therapy Of Alabama, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Florida St Ste 31, Mobile, AL 36607 Phone: 833-823-2447 Fax: 833-823-2448
Mr. Anthony Richard Nuchereno, DO Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1242 Anchor Dr, Mobile, AL 36693 Phone: 251-391-0588
Hall & Oates Pt West Mobile, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2351 Dawes Road, Mobile, AL 36695 Phone: 251-604-2542
Mrs. Amy Forsyth Walsh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770

Logan Chandler Blake, - Medicare Physical Therapist in Mobile, AL