Amber Lee Logan, DPT in Shiprock, NM - Medicare Physical Therapist Provider

Amber Lee Logan, DPT is a medicare enrolled "Physical Therapist" provider in Shiprock, New Mexico. Her current practice location is Us-491, Shiprock, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 368-6001.

Amber Lee Logan is licensed to practice in New Mexico (license number PT6105) 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 1235865171.

Contact Information

	Amber Lee Logan, DPT
	Us-491, Shiprock, NM 87420
	(505) 368-6001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amber Lee Logan
Gender	Female
Speciality	Physical Therapist
Location	Us-491, Shiprock, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235865171
Provider Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 9638551583
Enrollment ID: I20220809002045

Medical Identifiers

Medical identifiers for Amber Lee Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235865171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6105 (New Mexico)	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. Amber Lee Logan allows following entities to bill medicare on her behalf.

Provider Name	Dhhs Phs Naihs Shiprock Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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. Amber Lee 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
Amber Lee Logan, DPT 10 Primrose Ln, Los Alamos, NM 87544-1588 Ph: (505) 412-8617	Amber Lee Logan, DPT Us-491, Shiprock, NM 87420 Ph: (505) 368-6001

Reviews and Comments

Physical Therapist in Shiprock, NM

Thomas A Schroeder, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Susanne Wesemeyer-ortiz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Joseph B Strunce, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Ms. Denyse B Herrmann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-6020 Fax: 505-368-6431
Stacy L. Kantola, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Dr. Amber Rochelle Beardslee, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: Highway 491 North, Shiprock, NM 87420 Phone: 505-368-6001

Amber Lee Logan, DPT - Medicare Physical Therapist in Shiprock, NM