Mr Logan Robert Cook, MSW, LAC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Missoula, Montana. His current practice location is
1325 Wyoming St, Missoula, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 532-9817.
Mr Logan Robert Cook is licensed to practice in Montana (license number 966) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780837955.
Healthcare Provider's Profile
Full Name | Mr Logan Robert Cook |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1325 Wyoming St, Missoula, Montana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780837955
- Provider Enumeration Date: 10/31/2008
- Last Update Date: 06/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981892148
- Enrollment ID: I20110103000930
Medical Identifiers
Medical identifiers for Mr Logan Robert Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780837955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1277 (Montana) | Secondary |
1041C0700X | Social Worker - Clinical | 966 (Montana) | 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. Mr Logan Robert Cook allows following entities to bill medicare on his behalf.
Entity Name | Western Montana Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912079328 PECOS PAC ID: 6507764453 Enrollment ID: O20031230000190 |
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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. Mr Logan Robert Cook 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 |
Mr Logan Robert Cook, MSW, LAC, LCSW T-9 Fort Missoula, Missoula, MT 59804-7202 Ph: (406) 532-8400 | Mr Logan Robert Cook, MSW, LAC, LCSW 1325 Wyoming St, Missoula, MT 59801 Ph: (406) 532-9817 |
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