Logan Lee Ellis, RDN LDN - Dietitian in Susquehanna, PA

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Logan Lee Ellis, RDN LDN is a Dietitian, Registered based in Susquehanna, Pennsylvania. Logan Lee Ellis is licensed to practice in Pennsylvania (license number 86105199) and her current practice location is 2872 Turnpike St, Susquehanna, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (570) 853-3135.

NPI number for Logan Lee Ellis is 1417605114 and her current mailing address is 176 Green Valley Rd, Hallstead, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417605114.

Contact Information

Logan Lee Ellis, RDN LDN
2872 Turnpike St,
Susquehanna, PA 18847-2771
(570) 853-3135
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLogan Lee Ellis
GenderFemale
SpecialityDietitian, Registered
Location2872 Turnpike St, Susquehanna, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417605114
  • Provider Enumeration Date: 03/13/2022
  • Last Update Date: 03/20/2022

Medical Identifiers

Medical identifiers for Logan Lee Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417605114NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86105199 (Pennsylvania)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 Lee Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Logan Lee Ellis, RDN LDN
176 Green Valley Rd,
Hallstead, PA 18822-9544

Ph: (607) 372-5336		Logan Lee Ellis, RDN LDN
2872 Turnpike St,
Susquehanna, PA 18847-2771

Ph: (570) 853-3135

Reviews and Comments


Dietitian, Registered in Susquehanna, PA

Sara Mirra, MS, RD, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2872 Turnpike St, Susquehanna, PA 18847
Phone: 800-323-2051    
Mrs. Laura Anne Goble, RD, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2872 Turnpike St, Susquehanna, PA 18847
Phone: 570-853-3235    

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.