Logan Harris, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bean Station, Tennessee. His current practice location is
2250 Broadway Dr Ste A1, Bean Station, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 935-8111.
Logan Harris is licensed to practice in Tennessee (license number 14775) 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 1366149809.
Healthcare Provider's Profile
| Full Name | Logan Harris |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 2250 Broadway Dr Ste A1, Bean Station, Tennessee |
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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: 1366149809
- Provider Enumeration Date: 02/15/2023
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345606653
- Enrollment ID: I20230511001355
Medical Identifiers
Medical identifiers for Logan Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366149809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 14775 (Tennessee) | 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. Logan Harris allows following entities to bill medicare on his behalf.
| Provider Name | Jordan C Black |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1528569316
PECOS PAC ID: 5890117469
Enrollment ID: O20200629000595 |
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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. Logan Harris 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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Logan Harris, PT, DPT
325 W Morris Blvd,
Morristown, TN 37813-2237
Ph: (423) 375-8907 | Logan Harris, PT, DPT
2250 Broadway Dr Ste A1,
Bean Station, TN 37708-2016
Ph: (865) 935-8111 |
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