Dr Logan Campbell, MD is a medicare enrolled "Urology" physician in Wyandotte, Michigan. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Urology. He is a member of the group practice Warren Clinic Inc and his current practice location is
2333 Biddle Ave, Wyandotte, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 246-6039.
Dr Logan Campbell is licensed to practice in Michigan (license number 4301511864) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992068829.
Physician's Profile
Full Name | Dr Logan Campbell |
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Gender | Male |
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Speciality | Urology |
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Experience | 12 Years |
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Location | 2333 Biddle Ave, Wyandotte, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Logan Campbell graduated from medical school in 2012
NPI Data:
- NPI Number: 1992068829
- Provider Enumeration Date: 06/15/2012
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567694953
- Enrollment ID: I20180709001282
Medical Identifiers
Medical identifiers for Dr Logan Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992068829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 33940 (Oklahoma) | Secondary |
208800000X | Urology | 4301511864 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Warren Clinic Inc | 8820900293 | 607 |
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 Logan Campbell allows following entities to bill medicare on his behalf.
Entity Name | Warren Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
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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 Logan Campbell 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 Logan Campbell, MD 6600 S Yale Ave Ste 1200, Tulsa, OK 74136-3361 Ph: (918) 488-6045 | Dr Logan Campbell, MD 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 246-6039 |
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