Dustin M Logan, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Palmer, Alaska. His current practice location is
8201 N Michaelson St, Palmer, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 745-5066.
Dustin M Logan is licensed to practice in Alaska (license number 121536) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851578512.
Healthcare Provider's Profile
| Full Name | Dustin M Logan |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 8201 N Michaelson St, Palmer, Alaska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dustin M Logan attended and graduated from in
NPI Data:
- NPI Number: 1851578512
- Provider Enumeration Date: 01/24/2008
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dustin M Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851578512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 60616291 (Washington) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 121536 (Alaska) | Primary |
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. Dustin M 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 |
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Dustin M Logan, PHD
Po Box 3034,
Palmer, AK 99645-3034
Ph: (907) 745-5066 | Dustin M Logan, PHD
8201 N Michaelson St,
Palmer, AK 99645-8196
Ph: (907) 745-5066 |
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