Dr Patrick Clifford Logan, MD | |
1910 N Arlington Ave, Indianapolis, IN 46218-5128 | |
(317) 359-5358 | |
(317) 359-5358 |
Full Name | Dr Patrick Clifford Logan |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1910 N Arlington Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992704290 | NPI | - | NPPES |
100055560A | Medicaid | IN | |
072068448 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 01020481A (Indiana) | Primary |
Entity Name | University Dermatology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033159405 PECOS PAC ID: 0042204059 Enrollment ID: O20040413000478 |
Mailing Address | Practice Location Address |
---|---|
Dr Patrick Clifford Logan, MD 1910 N Arlington Ave, Indianapolis, IN 46218-5199 Ph: (317) 359-5358 | Dr Patrick Clifford Logan, MD 1910 N Arlington Ave, Indianapolis, IN 46218-5128 Ph: (317) 359-5358 |
Kathryn Shrift, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7910 N Shadeland Ave, Indianapolis, IN 46250 Phone: 317-516-5000 Fax: 317-516-5146 | |
Dr. Scott A Fretzin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7910 N Shadeland Ave, Indianapolis, IN 46250 Phone: 317-516-5000 Fax: 317-516-5146 | |
Matthew Turner, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 545 Barnhill Dr, Eh 139, Indianapolis, IN 46202 Phone: 317-274-7705 | |
Dr. Anubhav Narain Mathur, MD/PHD Dermatology Medicare: Medicare Enrolled Practice Location: 1001 W 10th St, Opw M200, Indianapolis, IN 46202 Phone: 317-656-4260 | |
Vindhya Lakshmi Veerula, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St # M200, Indianapolis, IN 46202 Phone: 317-656-4260 | |
Daniel Hekman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8325 E Southport Rd Ste 100, Indianapolis, IN 46259 Phone: 317-862-6609 Fax: 317-862-4617 | |
Christy Lynn Nebesio, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7910 N Shadeland Ave, Indianapolis, IN 46250 Phone: 317-516-5000 Fax: 317-516-5146 |