Logan Daryl Proffitt, DO in Belmont, NC - Medicare Family Medicine

Logan Daryl Proffitt, DO is a medicare enrolled "Family Medicine" physician in Belmont, North Carolina. His current practice location is 1220 Spruce St, Belmont, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 825-5333.

Logan Daryl Proffitt is licensed to practice in North Carolina (license number 2024-00030) 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 1063041358.

Contact Information

	Logan Daryl Proffitt, DO
	1220 Spruce St, Belmont, NC 28012-3370
	(704) 825-5333
	(704) 825-1751

Map and Direction

Physician's Profile

Full Name	Logan Daryl Proffitt
Gender	Male
Speciality	Family Medicine
Location	1220 Spruce St, Belmont, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063041358
Provider Enumeration Date: 04/07/2020
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 0446695811
Enrollment ID: I20240226003271

Medical Identifiers

Medical identifiers for Logan Daryl Proffitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063041358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2024-00030 (North Carolina)	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. Logan Daryl Proffitt allows following entities to bill medicare on his behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

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. Logan Daryl Proffitt 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
Logan Daryl Proffitt, DO Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450	Logan Daryl Proffitt, DO 1220 Spruce St, Belmont, NC 28012-3370 Ph: (704) 825-5333

Reviews and Comments

Family Medicine Doctors in Belmont, NC

Cristian Emanuil Pantea, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Park St, Suite 100, Belmont, NC 28012 Phone: 704-671-7411 Fax: 704-825-6985
Dr. Sarah Kapinga Kabemba Tshitenge, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1223 Spruce St, Belmont, NC 28012 Phone: 980-834-8800 Fax: 980-834-9879
Sharmeen Akhtar Hossain, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Spruce St, Belmont, NC 28012 Phone: 704-825-5333
Elliott Bradley Courter, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Spruce St, Belmont, NC 28012 Phone: 704-825-5333
Kaaren S. Sailer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 420 Park St, Belmont, NC 28012 Phone: 704-631-1820
Dr. David Andrew Layne, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 N Main St Ste 150, Belmont, NC 28012 Phone: 704-461-8111 Fax: 980-819-4672

Logan Daryl Proffitt, DO - Medicare Family Medicine in Belmont, NC