Dr Jade Logan, PHD, ABPP in Philadelphia, PA - Medicare Psychologist Provider

Dr Jade Logan, PHD, ABPP is a medicare enrolled "Psychologist - Clinical" provider in Philadelphia, Pennsylvania. Her current practice location is 255 S 17th St, Suite 2704, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 908-6363.

Dr Jade Logan is licensed to practice in Pennsylvania (license number PS017234) 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 1548707573.

Contact Information

	Dr Jade Logan, PHD, ABPP
	255 S 17th St, Suite 2704, Philadelphia, PA 19103-6231
	(267) 908-6363
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jade Logan
Gender	Female
Speciality	Psychologist - Clinical
Location	255 S 17th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548707573
Provider Enumeration Date: 01/29/2017
Last Update Date: 02/09/2017

Medicare PECOS Information:

PECOS PAC ID: 7214334796
Enrollment ID: I20210927000650

Medical Identifiers

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

Identifier	Type	State	Issuer
1548707573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS017234 (Pennsylvania)	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 Jade Logan allows following entities to bill medicare on her behalf.

Entity Name	Ladipo Group Psychotherapy For Our Community Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063829232 PECOS PAC ID: 2567867948 Enrollment ID: O20210823003199

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 Jade 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
Dr Jade Logan, PHD, ABPP 8532 Temple Rd, Philadelphia, PA 19150-1909 Ph: (856) 524-8580	Dr Jade Logan, PHD, ABPP 255 S 17th St, Suite 2704, Philadelphia, PA 19103-6231 Ph: (267) 908-6363

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
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Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011
Dr. Melisa English Moore, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076

Dr Jade Logan, PHD, ABPP - Medicare Psychologist in Philadelphia, PA