Ms Polly Jewell Logan, CNM - Medicare Advanced Practice Midwife in Kingwood, TX

Ms Polly Jewell Logan, CNM is a medicare enrolled "Advanced Practice Midwife" in Kingwood, Texas. Her current practice location is 201 Kingwood Medical Dr., Suite B-300, Kingwood, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 359-2229.

Ms Polly Jewell Logan is licensed to practice in Texas (license number 516618) 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 1215063987.

Contact Information

Ms Polly Jewell Logan, CNM
201 Kingwood Medical Dr., Suite B-300,
Kingwood, TX 77339
(281) 359-2229
Not Available



Provider's Profile

Full NameMs Polly Jewell Logan
GenderFemale
SpecialityAdvanced Practice Midwife
Location201 Kingwood Medical Dr., Kingwood, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215063987
  • Provider Enumeration Date: 02/26/2007
  • Last Update Date: 03/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9638334063
  • Enrollment ID: I20120709000659

Medical Identifiers

Medical identifiers for Ms Polly Jewell Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215063987NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 516618 (Texas)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. Ms Polly Jewell Logan allows following entities to bill medicare on her behalf.
Entity NameTexas Childrens Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861675506
PECOS PAC ID: 4385722081
Enrollment ID: O20080422000209

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Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427335140
PECOS PAC ID: 2668649567
Enrollment ID: O20120117000781

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Entity NameObhg Texas Holdings Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083917769
PECOS PAC ID: 3577713072
Enrollment ID: O20121018000279

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Entity NameAcclaim Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780076562
PECOS PAC ID: 4587963582
Enrollment ID: O20160426000707

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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. Ms Polly Jewell 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
Ms Polly Jewell Logan, CNM
13523 Hargrave Rd,
Houston, TX 77070-3829

Ph: (281) 206-4496
Ms Polly Jewell Logan, CNM
201 Kingwood Medical Dr., Suite B-300,
Kingwood, TX 77339

Ph: (281) 359-2229

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Advanced Practice Midwife Nurses in Kingwood, TX

Janet Little, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 201 Kingwood Medical Dr Ste B300, Kingwood, TX 77339
Phone: 281-359-2229    Fax: 281-359-8823
Karen Petrusic Mcneal, APRN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 350 Kingwood Medical Dr Ste 350, Kingwood, TX 77339
Phone: 281-359-7000    

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