Jennifer L Logan, RD, CDE - Medicare Dietitian in Santa Rosa, CA

Jennifer L Logan, RD, CDE is a medicare enrolled "Dietitian, Registered" provider in Santa Rosa, California. She graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Providence Medical Foundation and her current practice location is 1701 4th St Ste 210, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 578-7530.

Jennifer L Logan is licensed to practice in * (Not Available) (license number ) 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 1639620768.

Contact Information

Jennifer L Logan, RD, CDE
1701 4th St Ste 210,
Santa Rosa, CA 95404-3661
(707) 578-7530
(707) 578-7533

Map and Direction




Healthcare Provider's Profile

Full NameJennifer L Logan
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience30 Years
Location1701 4th St Ste 210, Santa Rosa, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer L Logan graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1639620768
  • Provider Enumeration Date: 10/24/2016
  • Last Update Date: 11/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6901185230
  • Enrollment ID: I20161109001633

Medical Identifiers

Medical identifiers for Jennifer L Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639620768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

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. Jennifer L Logan allows following entities to bill medicare on her behalf.
Provider NameProvidence Medical Foundation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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. Jennifer L 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 AddressPractice Location Address
Jennifer L Logan, RD, CDE
3536 Mendocino Ave, Ste 200,
Santa Rosa, CA 95403-3634

Ph: (707) 525-6485
Jennifer L Logan, RD, CDE
1701 4th St Ste 210,
Santa Rosa, CA 95404-3661

Ph: (707) 578-7530

Reviews and Comments


Dietitian, Registered in Santa Rosa, CA

Ms. Jessica Anne Rutland, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-393-4787    
Sari Bornstein,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-393-3506    
Mary Mcdonell, RD, RN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 365 Tesconi Cir Ste B, Santa Rosa, CA 95401
Phone: 707-575-6043    
Kathryn J Boyd, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4167    
Cali Kent, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 3920 Millbrook Dr, Santa Rosa, CA 95404
Phone: 707-575-3324    Fax: 707-575-3324
Ms. Gail Prosser, RD, CDE
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 3925 Old Redwood Hwy, Dept Of Pediatrics, Santa Rosa, CA 95403
Phone: 707-566-5358    Fax: 707-566-5292
Guadalupe Orihuela, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 3230 Hoen Ave, Santa Rosa, CA 95405
Phone: 707-477-4093    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.