Katherine Logan, | |
39 Hatherly Rd, Waltham, MA 02452-5735 | |
(339) 222-0957 | |
Not Available |
Full Name | Katherine Logan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 39 Hatherly Rd, Waltham, Massachusetts |
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 |
---|---|---|---|
1205336419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | RN2288161 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Massachusetts General Hospital | Boston, MA | Hospital |
North Shore Medical Center - | Salem, MA | Hospital |
Brigham And Women's Hospital | Boston, MA | Hospital |
Wentworth-douglass Hospital | Dover, NH | Hospital |
Newton-wellesley Hospital | Newton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Althausen Mcgovern Assoc Inc | 9830082411 | 2 |
Entity Name | Althausen Mcgovern Assoc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710020656 PECOS PAC ID: 9830082411 Enrollment ID: O20040206000214 |
Mailing Address | Practice Location Address |
---|---|
Katherine Logan, 39 Hatherly Rd, Waltham, MA 02452-5735 Ph: (339) 222-0957 | Katherine Logan, 39 Hatherly Rd, Waltham, MA 02452-5735 Ph: (339) 222-0957 |
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