Dr Alicia Josephine Logue, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Orlando, Florida. She went to University Of South Alabama College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice University Of Texas Health Science Center At San Antonio and her current practice location is
110 W Underwood St, Suite A, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 422-3790.
Dr Alicia Josephine Logue is licensed to practice in Florida (license number ME112828) 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 1841491313.
Physician's Profile
| Full Name | Dr Alicia Josephine Logue |
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| Gender | Female |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 21 Years |
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| Location | 110 W Underwood St, Orlando, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alicia Josephine Logue attended and graduated from University Of South Alabama College Of Medicine in 2003
NPI Data:
- NPI Number: 1841491313
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 03/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 6800969783
- Enrollment ID: I20080725000292
Medical Identifiers
Medical identifiers for Dr Alicia Josephine Logue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841491313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | N0223 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | ME112828 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Texas Health Science Center At San Antonio | 0042128548 | 1070 |
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 Alicia Josephine Logue allows following entities to bill medicare on her behalf.
| Entity Name | University Of Texas Health Science Center At San Antonio |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720051717
PECOS PAC ID: 0042128548
Enrollment ID: O20040607000664 |
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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 Alicia Josephine Logue 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 Alicia Josephine Logue, MD
86 W Underwood St, Suite 201,
Orlando, FL 32806-1110
Ph: (321) 841-5142 | Dr Alicia Josephine Logue, MD
110 W Underwood St, Suite A,
Orlando, FL 32806-1139
Ph: (407) 422-3790 |
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