Logan Debord, MD - Medicare Dermatology in Frisco, CO

Logan Debord, MD is a medicare enrolled "Dermatology" physician in Frisco, Colorado. His current practice location is 984 N 10 Mile Dr, #103, Frisco, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 668-0998.

Logan Debord is licensed to practice in Colorado (license number DR.0069923) 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 1104387794.

Contact Information

Logan Debord, MD
984 N 10 Mile Dr, #103,
Frisco, CO 80443-5719
(970) 668-0998
Not Available



Physician's Profile

Full NameLogan Debord
GenderMale
SpecialityDermatology
Location984 N 10 Mile Dr, Frisco, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104387794
  • Provider Enumeration Date: 03/27/2019
  • Last Update Date: 02/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739504945
  • Enrollment ID: I20230331001926

Medical Identifiers

Medical identifiers for Logan Debord such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104387794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology DR.0069923 (Colorado)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Logan Debord allows following entities to bill medicare on his behalf.
Entity NameBella Derma, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730106642
PECOS PAC ID: 2466424072
Enrollment ID: O20040812000579

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Entity NameEpiphany Dermatology Of Colorado Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992297469
PECOS PAC ID: 8921354341
Enrollment ID: O20180627001525

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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. Logan Debord 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
Logan Debord, MD
7300 Ranch Road 2222, Building 1, Ste 200,
Austin, TX 78730

Ph: (512) 628-0465
Logan Debord, MD
984 N 10 Mile Dr, #103,
Frisco, CO 80443-5719

Ph: (970) 668-0998

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Dermatology Doctors in Frisco, CO


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