Dr Bradley Dwight Logie, DDS - Medicare Dentist in Fort Sill, OK

Dr Bradley Dwight Logie, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fort Sill, Oklahoma. His current practice location is 2776 Ringgold Road, Attn: Credentials Coordinator, Fort Sill, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 442-3905.

Dr Bradley Dwight Logie is licensed to practice in Michigan (license number L117008) 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 1073707519.

Contact Information

Dr Bradley Dwight Logie, DDS
2776 Ringgold Road, Attn: Credentials Coordinator,
Fort Sill, OK 73503-6300
(580) 442-3905
(580) 442-4002



Healthcare Provider's Profile

Full NameDr Bradley Dwight Logie
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location2776 Ringgold Road, Fort Sill, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073707519
  • Provider Enumeration Date: 08/28/2007
  • Last Update Date: 01/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921293101
  • Enrollment ID: I20190111001270

Medical Identifiers

Medical identifiers for Dr Bradley Dwight Logie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073707519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery L117008 (Michigan)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. Dr Bradley Dwight Logie 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 Bradley Dwight Logie, DDS
Po Box 268819,
Oklahoma City, OK 73126-8819

Ph: (269) 556-9398
Dr Bradley Dwight Logie, DDS
2776 Ringgold Road, Attn: Credentials Coordinator,
Fort Sill, OK 73503-6300

Ph: (580) 442-3905

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› Verified 8 days ago


Dentist in Fort Sill, OK

Dr. David Matthew Wallitt, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 652 Hamilton Road, Fort Sill, OK 73503
Phone: 580-442-3905    
David Jonathon Sabovich, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6037 Bessinger St, Fort Sill, OK 73503
Phone: 580-442-0175    
Dr. Daniel James Convey, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4301 Wilson St, Fort Sill, OK 73503
Phone: 580-558-8302    
Dr. Edward Wayne Lumpkins, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4301 Wilson St, Fort Sill, OK 73503
Phone: 850-558-8375    
Dr. Stephen Michael Byrne, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: Allen Dental Clinic, 6037 Bessinger Rd, Fort Sill, OK 73503
Phone: 580-442-6106    Fax: 580-442-7150
Dr. Michael Fountain, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2776 Ringgold Rd, Fort Sill Dentac, Fort Sill, OK 73503
Phone: 580-442-3905    Fax: 580-442-4002

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