Tyler Logan, DPT in Bowie, MD - Medicare Physical Therapist Provider

Tyler Logan, DPT is a medicare enrolled "Physical Therapist" provider in Bowie, Maryland. His current practice location is 12510 Fairwood Pkwy, Bowie, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 859-0003.

Tyler Logan is licensed to practice in Maryland (license number 28248) 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 1295485050.

Contact Information

	Tyler Logan, DPT
	12510 Fairwood Pkwy, Bowie, MD 20720-6343
	(301) 859-0003
	(240) 913-9223

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Logan
Gender	Male
Speciality	Physical Therapist
Location	12510 Fairwood Pkwy, Bowie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295485050
Provider Enumeration Date: 03/25/2022
Last Update Date: 03/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0143690248
Enrollment ID: I20230106000542

Medical Identifiers

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

Identifier	Type	State	Issuer
1295485050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28248 (Maryland)	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. Tyler Logan allows following entities to bill medicare on his behalf.

Provider Name	Gymfit Health Network Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033864244 PECOS PAC ID: 3870929359 Enrollment ID: O20230109000042

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. Tyler 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
Tyler Logan, DPT 34 Shining Willow Way Unit 307, La Plata, MD 20646-4224 Ph: (301) 818-6753	Tyler Logan, DPT 12510 Fairwood Pkwy, Bowie, MD 20720-6343 Ph: (301) 859-0003

Reviews and Comments

Physical Therapist in Bowie, MD

Dante Lemar Gorham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Mitchellville Rd, Ste A400, Bowie, MD 20716 Phone: 301-805-7110
Possibilities Physical Therapy And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 3622 Majestic Ln, Bowie, MD 20715 Phone: 301-502-4938
Michael White, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1525 Pointer Ridge Pl, #304, Bowie, MD 20716 Phone: 301-466-6283
Keith Y Fleischmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4367 Northview Dr, Bowie, MD 20716 Phone: 301-464-4500 Fax: 301-464-8818
Mary Kathleen Sorenson, PT/CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 Gallant Fox Ln Ste 114, Bowie, MD 20715 Phone: 410-263-6638 Fax: 410-268-6830
Ati Holdings Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6842 Race Track Rd Ste B, Bowie, MD 20715 Phone: 240-544-0200
Richmond Sarpong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4000 Mitchellville Rd Ste B222, Bowie, MD 20716 Phone: 301-464-3775 Fax: 301-358-3211

Tyler Logan, DPT - Medicare Physical Therapist in Bowie, MD