Dr Latania K Logan, MD, MSPH in Atlanta, GA

Dr Latania K Logan, MD, MSPH is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Atlanta, Georgia. Her current practice location is 1400 Tullie Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 785-5437.

Dr Latania K Logan is licensed to practice in Georgia (license number 92099) 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 1558517144.

Contact Information

	Dr Latania K Logan, MD, MSPH
	1400 Tullie Rd Ne, Atlanta, GA 30329-2309
	(404) 785-5437
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Latania K Logan
Gender	Female
Speciality	Pediatrics - Pediatric Infectious Diseases
Location	1400 Tullie Rd Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558517144
Provider Enumeration Date: 08/14/2008
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6204981178
Enrollment ID: I20090827000752

Medical Identifiers

Medical identifiers for Dr Latania K Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558517144	NPI	-	NPPES
036-113313	Other	IL	STATE LICENSE NUMBER
336-074676	Other	IL	STATE LICENSE, CONTROLLED SUBSTANCE
92099	Other	GA	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-113313 (Illinois)	Secondary
2080P0208X	Pediatrics - Pediatric Infectious Diseases	036-113313 (Illinois)	Secondary
2080P0208X	Pediatrics - Pediatric Infectious Diseases	92099 (Georgia)	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 Latania K Logan allows following entities to bill medicare on her behalf.

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871560961 PECOS PAC ID: 5496744005 Enrollment ID: O20040510000386

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 Latania K 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
Dr Latania K Logan, MD, MSPH 1725 W Harrison St, Ste 710, Chicago, IL 60612-3841 Ph: (312) 942-6396	Dr Latania K Logan, MD, MSPH 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 Ph: (404) 785-5437

Reviews and Comments

Pediatrics Doctors in Atlanta, GA

Dr. Seth Benjamin Marcus, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 993-d Johnson Ferry Rd Ne Suite 440, Atlanta, GA 30342 Phone: 404-257-0799
Carrie Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-7141 Fax: 404-785-7989
Dr. Bharath Srivatsa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328 Phone: 404-252-9751 Fax: 678-990-5763
Michael Mallory, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-250-2972
Briana Cary Patterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2015 Uppergate Dr, Atlanta, GA 30322 Phone: 404-727-6721
Evan Orenstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6104 Fax: 404-785-1462
Andrew John Galway Mcreynolds, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49 Jesse Hill Jr Dr Se, Pediatrics Residency Training Program, Atlanta, GA 30303 Phone: 404-778-1440

Dr Latania K Logan, MD, MSPH - Medicare Pediatrics in Atlanta, GA