Elias G Logothetis, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Pine Brook, New Jersey. His current practice location is
64 Us Highway 46 Ste 201, Pine Brook, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 995-1901.
Elias G Logothetis is licensed to practice in New Jersey (license number 25MD00377800) 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 1003499534.
Healthcare Provider's Profile
| Full Name | Elias G Logothetis |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 64 Us Highway 46 Ste 201, Pine Brook, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003499534
- Provider Enumeration Date: 05/03/2021
- Last Update Date: 08/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305285156
- Enrollment ID: I20240412003671
Medical Identifiers
Medical identifiers for Elias G Logothetis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003499534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | N007353 (New York) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00377800 (New Jersey) | 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. Elias G Logothetis allows following entities to bill medicare on his behalf.
| Provider Name | Kaplan Podiatry Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891401782
PECOS PAC ID: 3678946878
Enrollment ID: O20230309001803 |
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| Provider Name | Prime Podiatry Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851115851
PECOS PAC ID: 9739619164
Enrollment ID: O20250213002894 |
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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. Elias G Logothetis 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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Elias G Logothetis, DPM
30 Lower Notch Rd,
Little Falls, NJ 07424-1806
Ph: (973) 934-9704 | Elias G Logothetis, DPM
64 Us Highway 46 Ste 201,
Pine Brook, NJ 07058-4401
Ph: (973) 995-1901 |
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