Logan Kaleta, PSYD, CIC is a medicare enrolled "Clinical Neuropsychologist" provider in Fort Lauderdale, Florida. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Holy Cross Hospital Inc and his current practice location is
5597 N Dixie Hwy, Fort Lauderdale, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 958-4800.
Logan Kaleta is licensed to practice in Florida (license number PY10205) 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 1104293109.
Healthcare Provider's Profile
| Full Name | Logan Kaleta |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 5597 N Dixie Hwy, Fort Lauderdale, Florida |
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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. |
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Medical Education and Training:
- Logan Kaleta graduated from medical school in 2014
NPI Data:
- NPI Number: 1104293109
- Provider Enumeration Date: 08/25/2015
- Last Update Date: 03/25/2026
Medicare PECOS Information:
- PECOS PAC ID: 6406164508
- Enrollment ID: I20190212002118
Medical Identifiers
Medical identifiers for Logan Kaleta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104293109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PY10205 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY10205 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Holy Cross Hospital Inc | 1850298365 | 305 |
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 Kaleta allows following entities to bill medicare on his behalf.
| Entity Name | Holy Cross Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467401877
PECOS PAC ID: 1850298365
Enrollment ID: O20031215000087 |
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| Entity Name | Link Performance Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578398756
PECOS PAC ID: 8224568472
Enrollment ID: O20250204000921 |
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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 Kaleta 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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Logan Kaleta, PSYD, CIC
5597 N Dixie Hwy,
Oakland Park, FL 33334-3406
Ph: (954) 958-4800 | Logan Kaleta, PSYD, CIC
5597 N Dixie Hwy,
Fort Lauderdale, FL 33334
Ph: (954) 958-4800 |
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