Keith W Logie, MD | |
10212 Lantern Rd, Fishers, IN 46037-9705 | |
(317) 841-5656 | |
(317) 841-5751 |
Full Name | Keith W Logie |
---|---|
Gender | Male |
Speciality | Internal Medicine - Medical Oncology |
Location | 10212 Lantern Rd, Fishers, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699767780 | NPI | - | NPPES |
110031005 | Other | IN | RAILROAD MEDICARE PIN |
100323590 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | 01031620 (Indiana) | Primary |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Entity Name | Indiana University Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20111024000503 |
Mailing Address | Practice Location Address |
---|---|
Keith W Logie, MD 6330 E 75th St, Suite 140, Indianapolis, IN 46250-2777 Ph: (317) 594-6900 | Keith W Logie, MD 10212 Lantern Rd, Fishers, IN 46037-9705 Ph: (317) 841-5656 |
Dr. Michele J Ostrowski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7199 Easy St, Fishers, IN 46038 Phone: 317-415-6110 | |
Tammy N Durham-boring, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-6060 Fax: 317-355-6965 | |
Racquel Kukita Reyes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7199 Easy St, Fishers, IN 46038 Phone: 317-415-6110 | |
Anna Marie C Sander, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12677 Brookhaven Dr, Fishers, IN 46037 Phone: 317-219-5188 | |
Dr. Derrick A Williams, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 13914 Southeastern Parkway, Suite 210, Fishers, IN 46037 Phone: 317-419-9900 Fax: 317-415-9910 | |
Sridevi A Vedantam, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10318 Copper Ridge Dr, Fishers, IN 46040 Phone: 765-965-6566 | |
Dr. Peter Caccavallo, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13000 E 136th St, Suite 1100, Fishers, IN 46037 Phone: 317-678-3585 Fax: 317-863-5084 |