Thomas Brooks Logan, MD is a
Otolaryngology physician based in Henderson, Kentucky. Thomas Brooks Logan is licensed to practice in Kentucky (license number 14807) and his current practice location is 800 N Elm St, Henderson, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(812) 499-9948.
NPI number for Thomas Brooks Logan is 1508854431 and his current mailing address is 1020 Professional Boulevard, Evansville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508854431.
Physician's Profile
| Full Name | Thomas Brooks Logan |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 800 N Elm St, Henderson, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508854431
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 05/20/2020
Medical Identifiers
Medical identifiers for Thomas Brooks Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508854431 | NPI | - | NPPES |
| 000000181609 | Other | IN | ANTHEM |
| 110013 | Other | IN | HEALTHLINK |
| 100246610A | Medicaid | IN | |
| 064946 | Other | IN | HEALTH ALLIANCE |
| 000000181609 | Other | KY | ANTHEM |
| 64148075 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 01029120A (Indiana) | Secondary |
| 207Y00000X | Otolaryngology | 14807 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Brooks Logan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thomas Brooks Logan, MD
1020 Professional Boulevard,
Evansville, IN 47714-8009
Ph: (812) 473-2060 | Thomas Brooks Logan, MD
800 N Elm St,
Henderson, KY 42420-2709
Ph: (812) 499-9948 |
Reviews and Comments