Anthony Peter Logalbo, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Melbourne, Florida. His current practice location is
3661 S Babcock St, Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 434-7611.
Anthony Peter Logalbo is licensed to practice in Florida (license number PY7399) 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 1255418372.
Healthcare Provider's Profile
| Full Name | Anthony Peter Logalbo |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 3661 S Babcock St, Melbourne, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1255418372
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 04/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082613567
- Enrollment ID: I20061213000542
Medical Identifiers
Medical identifiers for Anthony Peter Logalbo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255418372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY7399 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY7399 (Florida) | 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. Anthony Peter Logalbo allows following entities to bill medicare on his behalf.
| Entity Name | Health First Medical Group Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750626495
PECOS PAC ID: 7416100672
Enrollment ID: O20130122000135 |
|---|
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. Anthony Peter Logalbo 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 |
|---|
Anthony Peter Logalbo, PHD
3300 S Fiske Blvd,
Rockledge, FL 32955-4306
Ph: (321) 434-7611 | Anthony Peter Logalbo, PHD
3661 S Babcock St,
Melbourne, FL 32901-8205
Ph: (321) 434-7611 |
Reviews and Comments