Brent A Logie, | |
9376 Atlee Station Rd, Hanover Family Physicians Pc, Mechanicsville, VA 23116-2602 | |
(804) 730-0990 | |
(804) 730-8752 |
Full Name | Brent A Logie |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 9376 Atlee Station Rd, Mechanicsville, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043223225 | NPI | - | NPPES |
010176719 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101235776 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Brent A Logie, 9376 Atlee Station Rd, Hanover Family Physicians Pc, Mechanicsville, VA 23116-2602 Ph: (804) 730-0990 | Brent A Logie, 9376 Atlee Station Rd, Hanover Family Physicians Pc, Mechanicsville, VA 23116-2602 Ph: (804) 730-0990 |
Dr. Jon Randall Frederick, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8260 Atlee Rd, Emergency Dept, Mechanicsville, VA 23116 Phone: 804-764-6300 Fax: 804-764-6562 | |
Dr. Kevin J Sahli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7571 Cold Harbor Rd, Mechanicsville, VA 23111 Phone: 804-746-9055 Fax: 804-746-4476 | |
Dr. Mark Goldberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7238 Mechanicsville Tpke, Mechanicsville, VA 23111 Phone: 804-559-9900 Fax: 804-559-6530 | |
Christopher P Lake, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8200 Meadowbridge Rd Ste 200, Mechanicsville, VA 23116 Phone: 804-730-2121 | |
Michael J Petrizzi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9376 Atlee Station Rd, Hanover Family Physicians Pc, Mechanicsville, VA 23116 Phone: 804-730-0990 Fax: 804-730-8752 | |
Jethro Haslett Piland Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7255 Hanover Green Dr, Mechanicsville, VA 23111 Phone: 804-730-1111 Fax: 804-730-9764 |