Mr Arlee J Logan, NP is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" in Syracuse, New York. His current practice location is
750 East Adams Street, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 464-5910.
Mr Arlee J Logan is licensed to practice in New York (license number 352008) 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 1639851678.
Provider's Profile
| Full Name | Mr Arlee J Logan |
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| Gender | Male |
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| Speciality | Family Medicine - Hospice And Palliative Medicine |
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| Location | 750 East Adams Street, Syracuse, New York |
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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: 1639851678
- Provider Enumeration Date: 08/01/2023
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294181459
- Enrollment ID: I20231024001831
Medical Identifiers
Medical identifiers for Mr Arlee J Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639851678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 325008 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 325008 (New York) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 352008 (New York) | 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. Mr Arlee J Logan allows following entities to bill medicare on his behalf.
| Entity Name | Suny Health Science Center At Syracuse |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184974529
PECOS PAC ID: 7214833086
Enrollment ID: O20031211000420 |
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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. Mr Arlee J 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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Mr Arlee J Logan, NP
251 Salina Meadows Parkway, Suite 100,
Syracuse, NY 13212
Ph: (315) 464-2000 | Mr Arlee J Logan, NP
750 East Adams Street,
Syracuse, NY 13210-2306
Ph: (315) 464-5910 |
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