Jeanine Valrie Logan, CNM - Medicare Advanced Practice Midwife in Chicago, IL

Jeanine Valrie Logan, CNM is a medicare enrolled "Advanced Practice Midwife" in Chicago, Illinois. Her current practice location is 115 N Parkside Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 295-3060.

Jeanine Valrie Logan is licensed to practice in Illinois (license number 209.019385) 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 1255997375.

Contact Information

Jeanine Valrie Logan, CNM
115 N Parkside Ave,
Chicago, IL 60644-3040
(773) 295-3060
Not Available



Provider's Profile

Full NameJeanine Valrie Logan
GenderFemale
SpecialityAdvanced Practice Midwife
Location115 N Parkside Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255997375
  • Provider Enumeration Date: 05/14/2019
  • Last Update Date: 12/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1557699238
  • Enrollment ID: I20190819002987

Medical Identifiers

Medical identifiers for Jeanine Valrie Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255997375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 209.019385 (Illinois)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. Jeanine Valrie Logan allows following entities to bill medicare on her behalf.
Entity NamePcc Community Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871516799
PECOS PAC ID: 1557270139
Enrollment ID: O20040206000415

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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. Jeanine Valrie 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
Jeanine Valrie Logan, CNM
115 N Parkside Ave,
Chicago, IL 60644-3040

Ph: (773) 295-3060
Jeanine Valrie Logan, CNM
115 N Parkside Ave,
Chicago, IL 60644-3040

Ph: (773) 295-3060

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Advanced Practice Midwife Nurses in Chicago, IL

Jacqueline S Ma, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 966 W 21st St, Chicago, IL 60608
Phone: 773-254-1400    Fax: 312-829-6375
Tracy A Abraham,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1220 S Wood St, Chicago, IL 60608
Phone: 312-996-2000    Fax: 312-413-2026
Christina Volkening, MSN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2233 W Division St, Chicago, IL 60622
Phone: 312-770-2000    
Mallory Marie Klocke, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1117 W Lunt Ave Apt 2a, Chicago, IL 60626
Phone: 712-210-2717    
Rebecca Etrenne, APN
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 219 W Chicago Ave, Chicago, IL 60654
Phone: 312-878-1945    
Ms. Alyssa Suzanne Mull, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1701 W Superior Street, Erie Family Health Center, Chicago, IL 60622
Phone: 312-666-3494    
Kamila Stoksik, DNP
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 250 E Superior St, Chicago, IL 60611
Phone: 312-472-2900    

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