Isaiah Logan, MD is a medicare enrolled "Family Medicine" physician in Hearne, Texas. His current practice location is
709 Barton St, Hearne, Texas. You can reach out to his office (for appointments etc.) via phone at
(979) 279-3451.
Isaiah Logan is licensed to practice in Texas (license number BP10054656) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215318696.
Physician's Profile
| Full Name | Isaiah Logan |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 709 Barton St, Hearne, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215318696
- Provider Enumeration Date: 06/11/2015
- Last Update Date: 09/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042557027
- Enrollment ID: I20190129002791
Medical Identifiers
Medical identifiers for Isaiah Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215318696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | BP10054656 (Texas) | 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. Isaiah Logan allows following entities to bill medicare on his behalf.
| Entity Name | Seminole Hospital District Of Gaines County Texas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821025990
PECOS PAC ID: 2668382516
Enrollment ID: O20040428000104 |
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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. Isaiah 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 |
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Isaiah Logan, MD
1600 Providence Dr, Attn: Traci Mitchell - Admn,
Waco, TX 76707-2261
Ph: (254) 313-4200 | Isaiah Logan, MD
709 Barton St,
Hearne, TX 77859-3009
Ph: (979) 279-3451 |
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