Alicia J Logan, MHRS is a
Community Health Worker based in Ukiah, California. Alicia J Logan is licensed to practice in * (Not Available) (license number ) and her current practice location is
350 E Gobbi St, Ukiah, California. She can be reached at her office (for appointments etc.) via phone at
(707) 472-2922.
NPI number for Alicia J Logan is 1629210877 and her current mailing address is Po Box 2077, Ukiah, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629210877.
Healthcare Provider's Profile
| Full Name | Alicia J Logan |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
|---|
| Location | 350 E Gobbi St, Ukiah, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629210877
- Provider Enumeration Date: 04/02/2009
- Last Update Date: 08/01/2023
Medical Identifiers
Medical identifiers for Alicia J Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629210877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Alicia J Logan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alicia J Logan, MHRS
Po Box 2077,
Ukiah, CA 95482-2077
Ph: (707) 472-2922 | Alicia J Logan, MHRS
350 E Gobbi St,
Ukiah, CA 95482-5511
Ph: (707) 472-2922 |
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