Dr Logan West Sardzinski, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Iowa City, Iowa. His current practice location is
200 Hawkins Dr, Iowa City, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 356-2205.
Dr Logan West Sardzinski is licensed to practice in Iowa (license number DDS-09820) 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 1902419070.
Healthcare Provider's Profile
| Full Name | Dr Logan West Sardzinski |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 200 Hawkins Dr, Iowa City, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902419070
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 08/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810317443
- Enrollment ID: I20201020001018
Medical Identifiers
Medical identifiers for Dr Logan West Sardzinski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902419070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 09820 (Iowa) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 09820 (Iowa) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DDS-09820 (Iowa) | 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 Logan West Sardzinski allows following entities to bill medicare on his behalf.
| Entity Name | State University Of Iowa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477554814
PECOS PAC ID: 7618884230
Enrollment ID: O20031107000060 |
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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 Logan West Sardzinski 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 Logan West Sardzinski, DDS
51300 Pomerantz Family Pavilion,
Iowa City, IA 52242-1049
Ph: (319) 356-2205 | Dr Logan West Sardzinski, DDS
200 Hawkins Dr,
Iowa City, IA 52242-1049
Ph: (319) 356-2205 |
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