Dr Theodore P Logan, MD | |
12 Union St, Rockland, ME 04841-2739 | |
(207) 701-4400 | |
(207) 701-4487 |
Full Name | Dr Theodore P Logan |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 42 Years |
Location | 12 Union St, Rockland, Maine |
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 |
---|---|---|---|
1427054873 | NPI | - | NPPES |
255750099 | Medicaid | ME | |
047853 | Other | ME | ANTHEM STAR NUMBER |
Facility Name | Location | Facility Type |
---|---|---|
Penobscot Bay Medical Center | Rockport, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mainehealth | 7517860588 | 2109 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Penobscot Bay Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982645305 PECOS PAC ID: 2163320508 Enrollment ID: O20060316000020 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore P Logan, MD 300 Southborough Dr, Suite 201, South Portland, ME 04106-6914 Ph: (207) 661-2018 | Dr Theodore P Logan, MD 12 Union St, Rockland, ME 04841-2739 Ph: (207) 701-4400 |
Dr. Richard E. Nilson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4400 Fax: 207-701-4487 | |
James Richard Young, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-338-2295 Fax: 207-338-2388 | |
Dr. Harold Williams Van Lonkhuyzen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12 Union Street, Rockland, ME 04841 Phone: 207-701-4402 Fax: 207-701-4486 | |
Anne Cohen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4477 Fax: 207-701-4486 | |
Dr. Susan H. Nilson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4400 Fax: 207-701-4487 |