Logan Bryce Hanert, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101026932 Issued in MI

Practice address

850 W Baraga Ave
Marquette, MI 49855-4550

Phone

(906) 449-1600

NPI assigned

May 20, 2020

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: logan.hanert.2@8233.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logan B. Hanert DO, PC

  • Psychiatry Physician
  • Norway, MI
  • NPI 1780413161
  NPD Authorized official
• David B. Van Holla, M.D., PC

  • Psychiatry Physician
  • Norway, MI
  • NPI 1619066404
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1417570888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W BARAGA AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554550",
            "telephone_number": "906-449-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W BARAGA AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554550",
            "telephone_number": "906-449-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Main St",
            "address_purpose": "LOCATION",
            "city": "Norway",
            "state": "MI",
            "postal_code": "498701246",
            "country_code": "US",
            "telephone_number": "906-779-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANERT",
        "first_name": "LOGAN",
        "middle_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101026932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Mathias Hakkola, MD
• Amy J Hale, LMSW
• Chad B Hale, LMSW
• Susan Hampton
• Courtney Handlen
• Annika Marie Hanson, LMT
• Kimberly Sue Hantz, R.D.
• Jonathan R Harbin, M.D.
• Harbor View Chiropractic PC
• Daniel D Hardie, M.D.

• Psychiatry Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.