Joy L Logan, MD | |
4475 S L-19 Frontage Road, Suite 101, Green Valley, AZ 85614 | |
(520) 585-4590 | |
(520) 398-7540 |
Full Name | Joy L Logan |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 48 Years |
Location | 4475 S L-19 Frontage Road, Green Valley, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285732859 | NPI | - | NPPES |
241711 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 10447 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Desert Dialysis Sahuarita (dci) | Sahuarita, AZ | Dialysis facility |
Desert Dialysis Center (dci) | Tucson, AZ | Dialysis facility |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Akdhc Llc | 8123912136 | 124 |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Entity Name | Akdhc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316902208 PECOS PAC ID: 8123912136 Enrollment ID: O20040211000250 |
Mailing Address | Practice Location Address |
---|---|
Joy L Logan, MD 6622 N 91st Ave Ste 220, Glendale, AZ 85305-2569 Ph: (602) 759-6883 | Joy L Logan, MD 4475 S L-19 Frontage Road, Suite 101, Green Valley, AZ 85614 Ph: (520) 585-4590 |
Howard J Rolins, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 400 W Camino Casa Verde, Green Valley, AZ 85614 Phone: 520-625-1760 Fax: 520-648-1394 | |
Dr. Sivamurthy Kyathari, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 514 E Whitehouse Canyon Rd Ste 110, Green Valley, AZ 85614 Phone: 520-689-7030 Fax: 520-395-9796 | |
Rossa Khalaf, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 121 W Esperanza Blvd # 181, Green Valley, AZ 85614 Phone: 520-689-6992 Fax: 520-230-3310 | |
Dr. Marvin B Padnick, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4475 S I 19 Frontage Rd Ste 255, Green Valley, AZ 85614 Phone: 520-393-4863 | |
Dr. Fred P Mendoza, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1055 N. Lacanada Blvd, Suite 121, Green Valley, AZ 85614 Phone: 520-547-7770 Fax: 520-547-7775 | |
Ruben Calvillo, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1141 S La Canada Dr, Green Valley, AZ 85614 Phone: 520-694-3030 Fax: 520-694-3055 |