Dr Diane Logan, PHD, CSAC is a medicare enrolled "Psychologist - Clinical" provider in Kailua Kona, Hawaii. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1003207259
- Provider Enumeration Date: 02/10/2015
- Last Update Date: 03/15/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Diane Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 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 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 |
|---|
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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