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Active NPI 1982328480 Individual Practitioner Male Practitioner

Logan Slack

Physician Assistant • Bemidji, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Logan Slack is a certified Physician Assistant practicing in Bemidji, MN. With approximately 3 years of clinical experience since completing medical education in 2023, Logan Slack delivers high-quality medical care to the local community at 1300 ANNE ST NW.

Logan Slack is affiliated with Sanford Health Of Northern Minnesota and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1300 Anne St Nw

Bemidji, MN 566015103

Telephone 2187519746
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bemidji, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -12.6 yrs vs City Avg
City Avg: 15.6 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Bemidji, MN (4026 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Slack (3 Years) 3 Yrs
Bemidji Specialty Average (15.6 Years) 15.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 14888

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Sanford Health Of Northern Minnesota

110 7th St W, Park Rapids, MN 564701872

Phone: 2186993121

Sanford Health Of Northern Minnesota

1611 Anne St Nw, Bemidji, MN 566015114

Phone: 2183335000

Sanford Health Of Northern Minnesota

1300 Anne St Nw, Bemidji, MN 566015103

Phone: 2183335000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Jason Caron , MD

Orthopaedic Surgery

NPI 1114070182

Doctor of Medicine (M.D.)

Alexandria Sand , MS, LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1154739456

Master of Science, Licensed Athletic Trainer, Certified Athletic Trainer

Dr. Terrance Johnson , MD

Orthopaedic Surgery

NPI 1194721290

Doctor of Medicine (M.D.)

Linda Helgeson , NP

Nurse Practitioner

NPI 1194910505

Nurse Practitioner

Dr. Kyle Templin , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1205198157

Doctor of Podiatric Medicine

Katherine Smith , PA-C

Physician Assistant

NPI 1205328549

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 20, 2024

Registered at 1300 ANNE ST NW, BEMIDJI, MN 566015103 (Tel: 2187519746)

📍
Updated Business Mailing Address May 20, 2024

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6053289419)

NPI Profile Active September 28, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2022

Registered at 2000 UNIVERSITY AVE, DUBUQUE, IA 520015050 (Tel: 6053704562)

📍
Updated Business Mailing Address September 28, 2022

Registered at 2000 UNIVERSITY AVE, DUBUQUE, IA 520015050

👤
Provider Name / Credentials Updated September 28, 2022

Recorded as LOGAN SLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 28, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982328480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2022
Last Update: May 20, 2024
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 6053289419

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.