Lisa S Logan, MD | |
301 Saint Paul Pl, Department Of Pathology, Baltimore, MD 21202-2102 | |
(410) 332-9882 | |
(410) 234-2558 |
Full Name | Lisa S Logan |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 35 Years |
Location | 301 Saint Paul Pl, Baltimore, Maryland |
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 |
---|---|---|---|
1154367860 | NPI | - | NPPES |
KU59ST / 600433-01 | Other | MD | BC / BS OF MD |
S797 / S797 | Other | MD | BC / BS OF MD |
S185 / 0014 | Other | MD | BLUECHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | D0050769 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center Inc | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Paul Place Specialists, Inc. | 7719882943 | 271 |
Entity Name | St Paul Place Specialists, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
Mailing Address | Practice Location Address |
---|---|
Lisa S Logan, MD Po Box 64075, Baltimore, MD 21264-4075 Ph: () - | Lisa S Logan, MD 301 Saint Paul Pl, Department Of Pathology, Baltimore, MD 21202-2102 Ph: (410) 332-9882 |
Serena Maria Bagnasco, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-955-2660 | |
Dr. Adeboye Oluwaseyi Osunkoya, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 N Broadway, Johns Hopkins Pathology , Weinberg Room 2242, Baltimore, MD 21231 Phone: 405-808-5361 | |
Michael T. O'malley, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-644-4379 Fax: 410-644-4325 | |
Michael Edward Kallen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 N Broadway St, Baltimore, MD 21287 Phone: 410-955-3580 Fax: 410-614-1287 | |
Deyin Xing, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 North Broadway, Weinberg 2268, Baltimore, MD 21231 Phone: 410-955-3580 Fax: 410-614-1287 | |
Matthew Grant Gabrielson, Pathology Medicare: Medicare Enrolled Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3980 | |
Robert A. Palermo, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 6701 N Charles St, Baltimore, MD 21204 Phone: 443-849-2257 Fax: 443-849-3016 |