Mrs Laura T Logan, APRN | |
400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081-6236 | |
(904) 824-1020 | |
(904) 390-7503 |
Full Name | Mrs Laura T Logan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 400 Colonnade Dr Ste 160, Ponte Vedra, Florida |
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 |
---|---|---|---|
1497098586 | NPI | - | NPPES |
018814600 | Medicaid | FL | |
018008600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN9162621 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN9162621 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Primary Care Inc | 0648177733 | 405 |
Entity Name | Baptist Primary Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura T Logan, APRN Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Mrs Laura T Logan, APRN 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081-6236 Ph: (904) 824-1020 |
Mr. Nicholas M Kalynych, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 690 Majestic Eagle Dr, Sunbelt Anesthesia Services, Llc, Ponte Vedra, FL 32081 Phone: 904-412-2593 Fax: 904-686-1817 | |
Tyra Jean Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081 Phone: 904-640-8249 Fax: 904-640-8250 | |
Yuliya Caprietta, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Town Plaza Ave Ste 310, Ponte Vedra, FL 32081 Phone: 904-824-7733 Fax: 505-485-0681 | |
Mrs. Christina Marie Ralko, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 360 Town Plaza Ave Ste 330, Ponte Vedra, FL 32081 Phone: 904-419-9098 | |
Brittany Buchanan Kelly, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081 Phone: 904-640-8249 Fax: 904-640-8250 | |
Mrs. Ashley Michaux, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Ponte Vedra Park Dr, Ponte Vedra, FL 32082 Phone: 904-273-6200 | |
Amanda Maria Holt, AUTONOMOUS APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 Hilden Rd Ste 123, Ponte Vedra, FL 32081 Phone: 904-815-8353 |