Logan Brooke Duncan Ford, | |
20099 Office Cir Ste 208, Georgetown, DE 19947-3196 | |
(302) 856-1773 | |
Not Available |
Full Name | Logan Brooke Duncan Ford |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 20099 Office Cir Ste 208, Georgetown, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972211381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R227434 (Maryland) | Secondary |
363L00000X | Nurse Practitioner | LG-0012141 (Delaware) | Primary |
Entity Name | Peninsula Allergy & Asthma Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912056243 PECOS PAC ID: 8921996380 Enrollment ID: O20040308000595 |
Mailing Address | Practice Location Address |
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Logan Brooke Duncan Ford, 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 Ph: () - | Logan Brooke Duncan Ford, 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 Ph: (302) 856-1773 |
Ms. Mimi Joye Hilderley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438 | |
Tracy L Dysard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438 | |
Jasmine Lei Walker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21444 Carmean Way, Georgetown, DE 19947 Phone: 302-855-1233 Fax: 302-855-2025 | |
Rita Elizabeth Jean Meadows, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20930 Dupont Blvd, Suite 101, Georgetown, DE 19947 Phone: 302-856-3737 Fax: 302-856-7337 | |
Mrs. Jeanette M Grant, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21444 Carmean Way, Georgetown, DE 19947 Phone: 302-855-1233 Fax: 302-855-2025 | |
Ms. Amber L Sharp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Lee Ave Unit 103, Georgetown, DE 19947 Phone: 302-856-4092 | |
Jessica W Baxter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 W Market St, Georgetown, DE 19947 Phone: 302-856-7099 |