Logan John Archambault, in Phoenix, AZ - Medicare Internal Medicine

Logan John Archambault, is a medicare enrolled "Internal Medicine" physician in Phoenix, Arizona. His current practice location is 250 E Dunlap Ave, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 445-0751.

Logan John Archambault is licensed to practice in Arizona (license number 0010228) 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 1235759937.

Contact Information

	Logan John Archambault,
	250 E Dunlap Ave, Phoenix, AZ 85020-2825
	(602) 445-0751
	(602) 424-8128

Map and Direction

Physician's Profile

Full Name	Logan John Archambault
Gender	Male
Speciality	Internal Medicine
Location	250 E Dunlap Ave, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235759937
Provider Enumeration Date: 04/22/2020
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0749642734
Enrollment ID: I20230808001094

Medical Identifiers

Medical identifiers for Logan John Archambault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235759937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	0010228 (Arizona)	Secondary
207R00000X	Internal Medicine	0010228 (Arizona)	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 John Archambault allows following entities to bill medicare on his behalf.

Entity Name	Affiliated Hospitalists Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265546261 PECOS PAC ID: 6204822869 Enrollment ID: O20040421000567

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 John Archambault 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 John Archambault, 9225 N 3rd St Ste 300, Phoenix, AZ 85020-2466 Ph: (602) 445-0751	Logan John Archambault, 250 E Dunlap Ave, Phoenix, AZ 85020-2825 Ph: (602) 445-0751

Reviews and Comments

Internal Medicine Doctors in Phoenix, AZ

Moustafa I Hazin, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013 Phone: 602-406-5590 Fax: 602-406-7165
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Dana Archbold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2296 Fax: 602-839-2084
Dr. Nilofar Najafian, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W Thomas Rd Ste 480, Phoenix, AZ 85013 Phone: 602-406-5483 Fax: 602-406-5488
Catalina Nicole Flores, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 350 W Thomas Rd Dept Of, Phoenix, AZ 85013 Phone: 602-406-3000
Kristina Yancey, Internal Medicine Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-342-2000
Dr. Francisco Cordova, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 29 W Edgemont Ave, Phoenix, AZ 85003 Phone: 602-263-8971 Fax: 602-263-8971

Logan John Archambault, - Medicare Internal Medicine in Phoenix, AZ