Dr Katherine Elizabeth Logan, MD | |
87 Main St, Essex Junction, VT 05452-3234 | |
(802) 404-1350 | |
Not Available |
Full Name | Dr Katherine Elizabeth Logan |
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Gender | Female |
Speciality | Family Medicine |
Location | 87 Main St, Essex Junction, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750905006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 042.0017166 (Vermont) | Primary |
Entity Name | Community Health Centers Of Burlington Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689678963 PECOS PAC ID: 2062491251 Enrollment ID: O20040720000792 |
Mailing Address | Practice Location Address |
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Dr Katherine Elizabeth Logan, MD 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (401) 642-8569 | Dr Katherine Elizabeth Logan, MD 87 Main St, Essex Junction, VT 05452-3234 Ph: (802) 404-1350 |
Dr. Diane C. Rippa, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8 Essex Way, Suite 201, Essex Junction, VT 05452 Phone: 802-872-7100 | |
Christopher Tyler Vogt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 87 Main St, Essex Junction, VT 05452 Phone: 802-404-1350 Fax: 802-404-1385 | |
Michelle Marie Paavola, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 Fairview Dr, Essex Junction, VT 05452 Phone: 714-743-6158 |