Dr Diane Logan, PHD, CSAC is a medicare enrolled "Psychologist - Clinical" provider in Kailua Kona, Hawaii. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
75-5751 Kuakini Hwy Ste 104, Kailua Kona, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 326-5629.
Dr Diane Logan is licensed to practice in Hawaii (license number PSY-1550) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003207259.
Healthcare Provider's Profile
| Full Name | Dr Diane Logan |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 75-5751 Kuakini Hwy Ste 104, Kailua Kona, Hawaii |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Diane Logan graduated from medical school in 2013
NPI Data:
- NPI Number: 1003207259
- Provider Enumeration Date: 02/10/2015
- Last Update Date: 03/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072820901
- Enrollment ID: I20150909003084
Medical Identifiers
Medical identifiers for Dr Diane Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003207259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2055-19 (Hawaii) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2055-19I (Hawaii) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-1550 (Hawaii) | 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. Dr Diane Logan allows following entities to bill medicare on her behalf.
| Entity Name | Diane Logan Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265068233
PECOS PAC ID: 5496185613
Enrollment ID: O20200430000794 |
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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. Dr Diane 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 |
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Dr Diane Logan, PHD, CSAC
Po Box 5488,
Kailua Kona, HI 96745-5488
Ph: (808) 785-5443 | Dr Diane Logan, PHD, CSAC
75-5751 Kuakini Hwy Ste 104,
Kailua Kona, HI 96740-1705
Ph: (808) 326-5629 |
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