Logan Randall Ecklund, PT, DPT in Duluth, MN - Medicare Physical Therapist Provider

Logan Randall Ecklund, PT, DPT is a medicare enrolled "Physical Therapist" provider in Duluth, Minnesota. His current practice location is 4609 Grand Ave, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 733-3485.

Logan Randall Ecklund is licensed to practice in Minnesota (license number 12519) 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 1053063560.

Contact Information

	Logan Randall Ecklund, PT, DPT
	4609 Grand Ave, Duluth, MN 55807-2749
	(218) 733-3485
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Randall Ecklund
Gender	Male
Speciality	Physical Therapist
Location	4609 Grand Ave, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053063560
Provider Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022

Medicare PECOS Information:

PECOS PAC ID: 8628452760
Enrollment ID: I20220908002025

Medical Identifiers

Medical identifiers for Logan Randall Ecklund such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053063560	NPI	-	NPPES
NA	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12519 (Minnesota)	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 Randall Ecklund allows following entities to bill medicare on his behalf.

Provider Name	Nielson Family Chiropractic, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467736231 PECOS PAC ID: 0648446930 Enrollment ID: O20120109000699

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 Randall Ecklund 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
Logan Randall Ecklund, PT, DPT 4142 Meadow Pkwy Apt C, Hermantown, MN 55811-6401 Ph: (218) 348-2523	Logan Randall Ecklund, PT, DPT 4609 Grand Ave, Duluth, MN 55807-2749 Ph: (218) 733-3485

Reviews and Comments

Physical Therapist in Duluth, MN

Michael A Reuter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805 Phone: 218-786-4000
Hannah Johnson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4316 Rice Lake Rd Ste 107, Duluth, MN 55811 Phone: 218-727-1180
Mary Frances Hunt Sloan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000
Maria Anne Jacenko, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 Maple Grove Rd, Duluth, MN 55811 Phone: 218-724-4900
Kyle Walter Freundschuh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360
Ms. Laura Kendall, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Miller Trunk Hwy Bldg C, Duluth, MN 55811 Phone: 218-786-5360 Fax: 701-222-3186
Alan David Hagen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555

Logan Randall Ecklund, PT, DPT - Medicare Physical Therapist in Duluth, MN