Dr John Ryan Logan, MD is a medicare enrolled "Internal Medicine" physician in Gautier, Mississippi. His current practice location is
2101 Highway 90, Gautier, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 809-5510.
Dr John Ryan Logan is licensed to practice in Mississippi (license number 21375) 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 1801059381.
Physician's Profile
| Full Name | Dr John Ryan Logan |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2101 Highway 90, Gautier, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John Ryan Logan attended and graduated from in
NPI Data:
- NPI Number: 1801059381
- Provider Enumeration Date: 07/06/2008
- Last Update Date: 09/19/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr John Ryan Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801059381 | NPI | - | NPPES |
| 21375 | Other | MS | MS STATE BOARD OF MEDICAL LICENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 21375 (Mississippi) | Primary |
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. Dr John Ryan 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 Address | Practice Location Address |
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Dr John Ryan Logan, MD
1812 Shelby Ln,
Ocean Springs, MS 39564-5055
Ph: (601) 624-8229 | Dr John Ryan Logan, MD
2101 Highway 90,
Gautier, MS 39553-5340
Ph: (228) 809-5510 |
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