Richard Henry Logan, PMHNP-BC in Oak Park, IL

Richard Henry Logan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Oak Park, Illinois. His current practice location is 1010 Lake St Ste 110, Oak Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (331) 529-7413.

Richard Henry Logan is licensed to practice in Illinois (license number 209.028575) 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 1043085871.

Contact Information

	Richard Henry Logan, PMHNP-BC
	1010 Lake St Ste 110, Oak Park, IL 60301-1106
	(331) 529-7413
	(877) 428-7891

Map and Direction

Provider's Profile

Full Name	Richard Henry Logan
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1010 Lake St Ste 110, Oak Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043085871
Provider Enumeration Date: 11/21/2023
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7315489846
Enrollment ID: I20240611004489

Medical Identifiers

Medical identifiers for Richard Henry Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043085871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209.028575 (Illinois)	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. Richard Henry Logan allows following entities to bill medicare on his behalf.

Entity Name	Sudhir M Gokhale Mdsc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003961343 PECOS PAC ID: 7517923246 Enrollment ID: O20041206000029

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. Richard Henry 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
Richard Henry Logan, PMHNP-BC 8649 New England Ave, Burbank, IL 60459-2216 Ph: (708) 548-8308	Richard Henry Logan, PMHNP-BC 1010 Lake St Ste 110, Oak Park, IL 60301-1106 Ph: (331) 529-7413

Reviews and Comments

Nurse Practitioner Nurses in Oak Park, IL

Karen Ann B Denkov, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Erie Ct, Oak Park, IL 60302 Phone: 708-763-1476
Travis Andrew Tirpak, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Erie Ct, Oak Park, IL 60302 Phone: 708-763-6747
Lauren Marion, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Lake St Ste 619, Oak Park, IL 60301 Phone: 708-524-1400
Jenna Pederson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Erie Ct Ste 1300, Oak Park, IL 60302 Phone: 708-406-3929 Fax: 708-406-3935
Brandy J Hatcher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 S Maple Ave Ste 5900, Oak Park, IL 60304 Phone: 708-660-5400 Fax: 708-660-5401
Kristin Ann Green, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Madison St Ste 300, Oak Park, IL 60302 Phone: 708-486-2700

Richard Henry Logan, PMHNP-BC - Medicare Nurse Practitioner in Oak Park, IL