Ms Gayle Vence Logan, MA,LMSW,LPC in Philadelphia, PA

Ms Gayle Vence Logan, MA,LMSW,LPC is a medicare enrolled "Counselor - Professional" provider in Philadelphia, Pennsylvania. Her current practice location is 2449 Golf Rd Ste 14, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 477-3103.

Ms Gayle Vence Logan is licensed to practice in Pennsylvania (license number PC005429) 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 1821377854.

Contact Information

	Ms Gayle Vence Logan, MA,LMSW,LPC
	2449 Golf Rd Ste 14, Philadelphia, PA 19131-1475
	(215) 477-3103
	(215) 477-3104

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Gayle Vence Logan
Gender	Female
Speciality	Counselor - Professional
Location	2449 Golf Rd Ste 14, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821377854
Provider Enumeration Date: 08/09/2011
Last Update Date: 08/09/2011

Medicare PECOS Information:

PECOS PAC ID: 7618194390
Enrollment ID: I20240521003820

Medical Identifiers

Medical identifiers for Ms Gayle Vence Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821377854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC005429 (Pennsylvania)	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. Ms Gayle Vence Logan allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069

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. Ms Gayle Vence 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
Ms Gayle Vence Logan, MA,LMSW,LPC 2449 Golf Rd Ste 14, Philadelphia, PA 19131-1475 Ph: (215) 477-3103	Ms Gayle Vence Logan, MA,LMSW,LPC 2449 Golf Rd Ste 14, Philadelphia, PA 19131-1475 Ph: (215) 477-3103

Reviews and Comments

Counselor in Philadelphia, PA

Dr. Larisa Surenovna Dzhavakova, M.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 A Grant Ave, Philadelphia, PA 19115 Phone: 215-464-3838 Fax: 215-464-3899
Lorraine Braxton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4900 Wyalusing Ave, Philadelphia, PA 19131 Phone: 215-473-7033
Mr. David Joel Silbermann, M.ED, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152 Phone: 215-332-1914 Fax: 215-332-1873
Ms. Nicole Ivory Goicuria, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 N Broad St, Philadelphia, PA 19132 Phone: 215-599-2808 Fax: 215-599-1041
Lori L Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2927 N 5th St, Philadelphia, PA 19133 Phone: 484-221-9136 Fax: 484-221-9130
Gloria I Jimenez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2152 N Front St, Philadelphia, PA 19122 Phone: 484-221-9136 Fax: 484-221-9130
Ms. Bernice B Tett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 S Chadwick St, Philadelphia, PA 19145 Phone: 484-300-8699

Ms Gayle Vence Logan, MA,LMSW,LPC - Medicare Counselor in Philadelphia, PA