Dr Jacqueline Susan Logan, MD - Medicare Internal Medicine in Salem, OR

Dr Jacqueline Susan Logan, MD is a medicare enrolled "Internal Medicine" physician in Salem, Oregon. Her current practice location is 2600 Center St Ne, Oregon State Hospital, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 945-2800.

Dr Jacqueline Susan Logan is licensed to practice in Oregon (license number MD20914) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104905108.

Contact Information

Dr Jacqueline Susan Logan, MD
2600 Center St Ne, Oregon State Hospital,
Salem, OR 97301
(503) 945-2800
(503) 945-2807

Map and Direction




Physician's Profile

Full NameDr Jacqueline Susan Logan
GenderFemale
SpecialityInternal Medicine
Location2600 Center St Ne, Salem, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104905108
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7315947553
  • Enrollment ID: I20070111000329

Medical Identifiers

Medical identifiers for Dr Jacqueline Susan Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104905108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD20914 (Oregon)Primary

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 Jacqueline Susan Logan allows following entities to bill medicare on her behalf.
Entity NameDhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508802489
PECOS PAC ID: 0547170383
Enrollment ID: O20040130000453

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 Jacqueline Susan 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
Dr Jacqueline Susan Logan, MD
Po Box 19055,
Portland, OR 97280-0055

Ph: (503) 998-6548
Dr Jacqueline Susan Logan, MD
2600 Center St Ne, Oregon State Hospital,
Salem, OR 97301

Ph: (503) 945-2800

Reviews and Comments


Internal Medicine Doctors in Salem, OR

Dr. Andrew P. Hope, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 875 Oak St Se, Suite 4000, Salem, OR 97301
Phone: 503-364-0189    Fax: 503-364-9288
Brett W Mikeska, M D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301
Phone: 503-561-8565    Fax: 503-561-8560
Dr. Aneet Jyot Deo, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301
Phone: 503-561-8565    Fax: 503-561-8560
Dr. Sitalakshmi Jayamani Iyer, M.D.,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301
Phone: 503-561-8565    
Joseph J Thaler, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5050 Skyline Village Loop S, Salem, OR 97306
Phone: 503-391-1110    Fax: 503-370-4237
Dr. Krystyna Antonina Pekalska, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Lancaster Dr Ne, Salem, OR 97305
Phone: 503-361-5400    
Dr. Falguny I Bhavan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 875 Oak St Se, Ste 3010, Salem, OR 97301
Phone: 503-399-7520    Fax: 503-362-7344

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.