Dr Jonathan Logan, MD is a
Allergy & Immunology - Allergy physician based in Canandaigua, New York. Dr Jonathan Logan is licensed to practice in New York (license number 089645) and his current practice location is 201 Parrish St, Canandaigua, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 394-6070.
NPI number for Dr Jonathan Logan is 1609871573 and his current mailing address is 201 Parrish St, Canandaigua, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609871573.
Physician's Profile
| Full Name | Dr Jonathan Logan |
|---|
| Gender | Male |
|---|
| Speciality | Allergy & Immunology - Allergy |
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| Location | 201 Parrish St, Canandaigua, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609871573
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 01/26/2010
Medical Identifiers
Medical identifiers for Dr Jonathan Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609871573 | NPI | - | NPPES |
| P010089546 | Other | NY | EXCELLUS BLUE CHOICE |
| 1360 | Other | NY | EXCELLUS BLUE SHIELD |
| 100497AA | Other | NY | PREFERRED CARE AL |
| 00025452201 | Other | NY | UNIVERA |
| 030001160 | Other | NY | RAILROAD MEDICARE |
| 100497DT | Other | NY | PREFERRED CARE PA |
| 5176319 | Other | NY | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | 089645 (New York) | 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 Jonathan Logan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan Logan, MD
201 Parrish St,
Canandaigua, NY 14424-1727
Ph: (585) 394-6070 | Dr Jonathan Logan, MD
201 Parrish St,
Canandaigua, NY 14424-1727
Ph: (585) 394-6070 |
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