Mrs Jennifer D Logan, PHD, LCPC is a medicare enrolled "Counselor - Professional" provider in Goodfield, Illinois. Her current practice location is
103 Appaloosa Cir, Goodfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 360-2268.
Mrs Jennifer D Logan is licensed to practice in Illinois (license number 180012370) 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 1124370226.
Healthcare Provider's Profile
Full Name | Mrs Jennifer D Logan |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 103 Appaloosa Cir, Goodfield, Illinois |
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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: 1124370226
- Provider Enumeration Date: 10/12/2012
- Last Update Date: 09/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305285628
- Enrollment ID: I20240419001460
Medical Identifiers
Medical identifiers for Mrs Jennifer D Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124370226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 178006924 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180012370 (Illinois) | 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. Mrs Jennifer D Logan allows following entities to bill medicare on her behalf.
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
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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. Mrs Jennifer D 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 |
Mrs Jennifer D Logan, PHD, LCPC 103 Appaloosa Cir, Goodfield, IL 61742-9300 Ph: (309) 360-2268 | Mrs Jennifer D Logan, PHD, LCPC 103 Appaloosa Cir, Goodfield, IL 61742-9300 Ph: (309) 360-2268 |
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