Logan Ledbetter, RD, CNSC - Medicare in Sacramento, CA

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Logan Ledbetter, RD, CNSC is a medicare enrolled "Physician Assistant" provider in Sacramento, California. His current practice location is 2315 Stockton Blvd, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 734-2011.

Logan Ledbetter is licensed to practice in California (license number 1178331) 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 1457883068.

Contact Information

Logan Ledbetter, RD, CNSC
2315 Stockton Blvd,
Sacramento, CA 95817-2201
(916) 734-2011
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLogan Ledbetter
GenderMale
SpecialityPhysician Assistant
Location2315 Stockton Blvd, Sacramento, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457883068
  • Provider Enumeration Date: 04/02/2017
  • Last Update Date: 11/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0446627913
  • Enrollment ID: I20221114001261

Medical Identifiers

Medical identifiers for Logan Ledbetter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457883068NPI-NPPES
1457883068MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86006556 (California)Secondary
363A00000XPhysician Assistant 1178331 (California)Primary

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. Logan Ledbetter 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
Logan Ledbetter, RD, CNSC
36238 Straightaway Dr,
Beaumont, CA 92223-8144

Ph: (480) 381-8477		Logan Ledbetter, RD, CNSC
2315 Stockton Blvd,
Sacramento, CA 95817-2201

Ph: (916) 734-2011

Reviews and Comments



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.