Avis Etta Logan, MD in Berkeley, CA - Medicare Family Practice

Avis Etta Logan, MD is a medicare enrolled "Family Medicine" physician in Berkeley, California. She went to University Of California, Davis School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice John Muir Physician Network and her current practice location is 3100 San Pablo Ave # 310, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 985-5020.

Avis Etta Logan is licensed to practice in California (license number G73867) 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 1235102252.

Contact Information

	Avis Etta Logan, MD
	3100 San Pablo Ave # 310, Berkeley, CA 94702
	(510) 985-5020
	Not Available

Map and Direction

Physician's Profile

Full Name	Avis Etta Logan
Gender	Female
Speciality	Family Practice
Experience	34 Years
Location	3100 San Pablo Ave # 310, Berkeley, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Avis Etta Logan attended and graduated from University Of California, Davis School Of Medicine in 1990

NPI Data:

NPI Number: 1235102252
Provider Enumeration Date: 02/09/2006
Last Update Date: 07/02/2018

Medicare PECOS Information:

PECOS PAC ID: 6507939295
Enrollment ID: I20080714000209

Medical Identifiers

Medical identifiers for Avis Etta Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235102252	NPI	-	NPPES
ZZZ16371Z	Medicaid	CA
GR0028630	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G73867 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alta Bates Summit Medical Center	Oakland, CA	Hospital
Alta Bates Summit Medical Center - Alta Bates Camp	Berkeley, CA	Hospital
John Muir Medical Center - Walnut Creek Campus	Walnut creek, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John Muir Physician Network	6608789813	442

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. Avis Etta Logan allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	John Muir Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143

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. Avis Etta 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
Avis Etta Logan, MD 1450 Treat Blvd # 300, Walnut Creek, CA 94597-2168 Ph: (925) 952-2888	Avis Etta Logan, MD 3100 San Pablo Ave # 310, Berkeley, CA 94702 Ph: (510) 985-5020

Reviews and Comments

Family Medicine Doctors in Berkeley, CA

Dr. Susan Lee Ivey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2140 Shattuck Ave, 10th Floor, Health Research For Action, Uc-berkeley Sph, Berkeley, CA 94704 Phone: 510-643-1883 Fax: 510-643-7976
Dr. Julie A Goo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2636 Telegraph Ave, Berkeley, CA 94704 Phone: 510-841-1647 Fax: 810-848-4924
Mr. Sharad Kumar Kohli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2031 6th St, West Berkeley Family Practice, Berkeley, CA 94710 Phone: 510-981-4234
Audrey Dandrea, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 San Pablo Ave # 310, Berkeley, CA 94702 Phone: 925-985-5020
Dana Gersten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1711 Ward St, Berkeley, CA 94703 Phone: 541-386-3911
Julia Marino, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Lifelong Ashby Health Center, 3075 Adeline St #280, Berkeley, CA 94703 Phone: 510-981-4100
Dr. Don Weinreich, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3000 Colby St, Suite #307, Berkeley, CA 94705 Phone: 510-848-5310 Fax: 510-848-5510

Avis Etta Logan, MD - Medicare Family Practice in Berkeley, CA