Logan Jerald Dewhitt, DPT in Fayetteville, AR - Medicare Physical Therapy Provider

Logan Jerald Dewhitt, DPT is a medicare enrolled "Physical Therapist" provider in Fayetteville, Arkansas. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ozark Orthopaedics, Pa and his current practice location is 3317 N Wimberly Dr Fl 2, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (795) 873-1174.

Logan Jerald Dewhitt is licensed to practice in Arkansas (license number PT4706) 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 1114574142.

Contact Information

	Logan Jerald Dewhitt, DPT
	3317 N Wimberly Dr Fl 2, Fayetteville, AR 72703-4056
	(795) 873-1174
	Not Available

Healthcare Provider's Profile

Full Name	Logan Jerald Dewhitt
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	3317 N Wimberly Dr Fl 2, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Logan Jerald Dewhitt graduated from medical school in 2019

NPI Data:

NPI Number: 1114574142
Provider Enumeration Date: 08/23/2019
Last Update Date: 08/23/2019

Medicare PECOS Information:

PECOS PAC ID: 4183954514
Enrollment ID: I20190926002607

Medical Identifiers

Medical identifiers for Logan Jerald Dewhitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114574142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4706 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ozark Orthopaedics, Pa	2860477189	47

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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 Jerald Dewhitt allows following entities to bill medicare on his behalf.

Provider Name	Ozark Orthopaedics, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649210584 PECOS PAC ID: 2860477189 Enrollment ID: O20040621001974

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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 Jerald Dewhitt 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
Logan Jerald Dewhitt, DPT 3317 N Wimberly Dr Fl 2, Fayetteville, AR 72703-4056 Ph: (795) 873-1174	Logan Jerald Dewhitt, DPT 3317 N Wimberly Dr Fl 2, Fayetteville, AR 72703-4056 Ph: (795) 873-1174

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Physical Therapist in Fayetteville, AR

Karen Hairston, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Fernando Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703 Phone: 479-571-6780
Kymbrly Hannah, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Ms. Heather Kristine Vaughn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-713-8630 Fax: 479-713-8639
Megan Landry Wilson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-442-7220
Travis Alexander, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 Phone: 479-435-6712 Fax: 844-317-0394
Winston Tyler Futrell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-595-0711

Logan Jerald Dewhitt, DPT - Medicare Physical Therapist in Fayetteville, AR

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Group Practice Association

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Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Physical Therapist in Fayetteville, AR