Dr Deirdre E Logan, PHD - Medicare Psychologist in Boston, MA

Dr Deirdre E Logan, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Boston, Massachusetts. Her current practice location is 300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 355-6694.

Dr Deirdre E Logan is licensed to practice in Massachusetts (license number 8161) 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 1689725889.

Contact Information

Dr Deirdre E Logan, PHD
300 Longwood Ave,
Boston, MA 02115-5724
(617) 355-6694
(617) 730-0199

Map and Direction




Healthcare Provider's Profile

Full NameDr Deirdre E Logan
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location300 Longwood Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689725889
  • Provider Enumeration Date: 01/15/2007
  • Last Update Date: 09/14/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1153606595
  • Enrollment ID: I20170327000521

Medical Identifiers

Medical identifiers for Dr Deirdre E Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689725889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 8161 (Massachusetts)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. Dr Deirdre E Logan allows following entities to bill medicare on her behalf.
Entity NameChmc Anesthesia Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831268754
PECOS PAC ID: 0446155568
Enrollment ID: O20031203000162
Entity NameChmc Anesthesia Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831268754
PECOS PAC ID: 0446155568
Enrollment ID: O20110826000388

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. Dr Deirdre E 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 AddressPractice Location Address
Dr Deirdre E Logan, PHD
333 Longwood Ave, Chb Pain Treatment Service, Suite 549,
Boston, MA 02115

Ph: (617) 355-6694
Dr Deirdre E Logan, PHD
300 Longwood Ave,
Boston, MA 02115-5724

Ph: (617) 355-6694

Reviews and Comments


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