Patricia Logan, PHD in Jackson, MS - Medicare Psychologist Provider

Patricia Logan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5863.

Patricia Logan is licensed to practice in Mississippi (license number T55974) 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 1083922603.

Contact Information

	Patricia Logan, PHD
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-5863
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patricia Logan
Gender	Female
Speciality	Psychologist - Clinical
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083922603
Provider Enumeration Date: 09/16/2010
Last Update Date: 12/23/2015

Medicare PECOS Information:

PECOS PAC ID: 0648467779
Enrollment ID: I20231113000182

Medical Identifiers

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

Identifier	Type	State	Issuer
1083922603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6715 (Ohio)	Secondary
103TC0700X	Psychologist - Clinical	T55974 (Mississippi)	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. Patricia Logan allows following entities to bill medicare on her behalf.

Entity Name	Ut Lebonheur Pediatric Specialists, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093024101 PECOS PAC ID: 7719173939 Enrollment ID: O20101130000117

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. Patricia 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
Patricia Logan, PHD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5863	Patricia Logan, PHD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5863

Reviews and Comments

Psychologist in Jackson, MS

Dr. Elizabeth Nosen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471
Robert Adams, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 N State St, Ste 400, Jackson, MS 39202 Phone: 601-944-1717 Fax: 601-944-9780
Dr. Kevin Del Ben, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5888 Fax: 601-984-5842
Dr. Lashun A. Young, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471
Ann Atkinson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5345 Highway 18 W, Jackson, MS 39209 Phone: 601-927-0188
Dr. Matthew T. Tull, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Department Of Psychiatry, Jackson, MS 39216 Phone: 601-815-6518

Patricia Logan, PHD - Medicare Psychologist in Jackson, MS