Logan Perkins, DO | |
775 Pole Line Rd, Ste 105 And 111, Twin Falls, ID 83301 | |
(208) 814-8000 | |
Not Available |
Full Name | Logan Perkins |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 775 Pole Line Rd, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487218814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MRO-1839 (Idaho) | Secondary |
207Q00000X | Family Medicine | O-1468 (Idaho) | Primary |
Entity Name | St Lukes Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Mailing Address | Practice Location Address |
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Logan Perkins, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Logan Perkins, DO 775 Pole Line Rd, Ste 105 And 111, Twin Falls, ID 83301 Ph: (208) 814-8000 |
Blaine Gibby, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd Ste A&b, Twin Falls, ID 83301 Phone: 208-814-8000 Fax: 208-933-4919 | |
Dr. Cathy White Canty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 | |
Jonathan Muretisch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Pole Line Rd Ste 2, Twin Falls, ID 83301 Phone: 208-514-2500 Fax: 208-375-2217 | |
Marc Allan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Pole Line Rd Ste 2, Twin Falls, ID 83301 Phone: 208-735-3636 Fax: 208-735-3637 | |
Steven A. Kohtz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7300 Fax: 208-933-4601 | |
Dr. Nichole S Halverson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 526 Shoup Ave W Ste F, Twin Falls, ID 83301 Phone: 208-736-7620 | |
Mary Beth Curtis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 730 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7300 Fax: 208-933-4601 |