Logan Robert Vidal, DO - Medicare Family Practice in San Diego, CA

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Logan Robert Vidal, DO is a medicare enrolled "Family Medicine" physician in San Diego, California. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Broadlawns Medical Center and his current practice location is Vamc 3350 La Jolla Village Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 552-8585.

Logan Robert Vidal is licensed to practice in Florida (license number OS12575) 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 1306133210.

Contact Information

Logan Robert Vidal, DO
Vamc 3350 La Jolla Village Dr,
San Diego, CA 92161-0001
(858) 552-8585
Not Available

Map and Direction




Physician's Profile

Full NameLogan Robert Vidal
GenderMale
SpecialityFamily Practice
Experience14 Years
LocationVamc 3350 La Jolla Village Dr, San Diego, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Logan Robert Vidal graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1306133210
  • Provider Enumeration Date: 06/30/2011
  • Last Update Date: 12/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9931343886
  • Enrollment ID: I20130917000087

Medical Identifiers

Medical identifiers for Logan Robert Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306133210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R-9308 (Iowa)Secondary
207Q00000XFamily Medicine 4347 (Iowa)Secondary
207Q00000XFamily Medicine OS12575 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Broadlawns Medical CenterDes moines, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Broadlawns Medical Center3678466166219

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 Robert Vidal allows following entities to bill medicare on his behalf.
Entity NameBroadlawns Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467447508
PECOS PAC ID: 3678466166
Enrollment ID: O20040206000913
Entity NameMarengo Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053368191
PECOS PAC ID: 0749199446
Enrollment ID: O20040318000643

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 Robert Vidal 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 AddressPractice Location Address
Logan Robert Vidal, DO
300 W May St,
Marengo, IA 52301-1261

Ph: () -		Logan Robert Vidal, DO
Vamc 3350 La Jolla Village Dr,
San Diego, CA 92161-0001

Ph: (858) 552-8585

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.