Dustin M Logan, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Palmer, Alaska. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
8201 N Michaelson St, Palmer, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 745-5066.
Dustin M Logan is licensed to practice in Alaska (license number 121536) 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 1851578512.
Healthcare Provider's Profile
Full Name | Dustin M Logan |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 9 Years |
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Location | 8201 N Michaelson St, Palmer, Alaska |
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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:
- Dustin M Logan graduated from medical school in 2015
NPI Data:
- NPI Number: 1851578512
- Provider Enumeration Date: 01/24/2008
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284907213
- Enrollment ID: I20170913001254
Medical Identifiers
Medical identifiers for Dustin M Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851578512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 60616291 (Washington) | Secondary |
103G00000X | Clinical Neuropsychologist | 121536 (Alaska) | 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. Dustin M Logan allows following entities to bill medicare on his behalf.
Entity Name | Neurobehavior North Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457621914 PECOS PAC ID: 3870866080 Enrollment ID: O20170911002151 |
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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. Dustin M 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 |
Dustin M Logan, PHD Po Box 3034, Palmer, AK 99645-3034 Ph: (907) 745-5066 | Dustin M Logan, PHD 8201 N Michaelson St, Palmer, AK 99645-8196 Ph: (907) 745-5066 |
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