Stevonica J Logan, CRNP in Huntsville, AL - Medicare Nurse Practitioner

Stevonica J Logan, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Huntsville, Alabama. Her current practice location is 400 Whitesport Dr Sw Ste 103, Huntsville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 799-2509.

Stevonica J Logan is licensed to practice in Alabama (license number 1-176787) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043917016.

Contact Information

	Stevonica J Logan, CRNP
	400 Whitesport Dr Sw Ste 103, Huntsville, AL 35801-6429
	(256) 799-2509
	(256) 799-2400

Map and Direction

Provider's Profile

Full Name	Stevonica J Logan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	400 Whitesport Dr Sw Ste 103, Huntsville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043917016
Provider Enumeration Date: 02/10/2023
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4284099474
Enrollment ID: I20230421001602

Medical Identifiers

Medical identifiers for Stevonica J Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043917016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-176787 (Alabama)	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. Stevonica J Logan allows following entities to bill medicare on her behalf.

Entity Name	Happi Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528580404 PECOS PAC ID: 2062756596 Enrollment ID: O20181210002397

Entity Name	Alegis Care - Alabama Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508437112 PECOS PAC ID: 8921499088 Enrollment ID: O20211228000385

Entity Name	Evernorth Care Providers - Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356128904 PECOS PAC ID: 7911355532 Enrollment ID: O20231211001845

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. Stevonica 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
Stevonica J Logan, CRNP 400 Whitesport Dr Sw Ste 103, Huntsville, AL 35801-6429 Ph: (256) 799-2509	Stevonica J Logan, CRNP 400 Whitesport Dr Sw Ste 103, Huntsville, AL 35801-6429 Ph: (256) 799-2509

Reviews and Comments

Nurse Practitioner Nurses in Huntsville, AL

Ms. Lisa Gay Rhodes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Wynn Drive, Rfcu Clinic, Huntsville, AL 35893 Phone: 256-722-4803 Fax: 256-722-4804
Hailey Farmer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Lowell Dr Se Ste 1, Huntsville, AL 35801 Phone: 256-265-4462 Fax: 256-265-4463
Elena Mihaela Kruse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 Phone: 256-489-0757
Mrs. Gina Marie Delgado, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 Phone: 256-265-8641 Fax: 256-265-6722
Michael Larkins, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801 Phone: 256-265-3880
Meghan J Dunning, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000
Kayla Hebert, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4011 Meridian St., Huntsville, AL 35811 Phone: 256-372-5601 Fax: 256-934-2635

Stevonica J Logan, CRNP - Medicare Nurse Practitioner in Huntsville, AL