Mr Michael Stephen Logue, FAM NRS PRAC FNP | |
10012 Kennerly Road, Suite # 301, St Louis, MO 63128 | |
(314) 894-0787 | |
(314) 729-1489 |
Full Name | Mr Michael Stephen Logue |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 10012 Kennerly Road, St Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750338919 | NPI | - | NPPES |
652432 | Other | MO | HEALTHLINK |
429176605 | Medicaid | MO | |
46286 | Other | MO | HEALTHCARE USA |
189482 | Other | MO | BCBS |
7196539 | Other | MO | AETNA |
P00117390 | Other | MO | MEDICARE RAILROAD |
072289 | Other | MO | EXCLUSIVE CHOICE |
356650631001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 135879 (Missouri) | Primary |
363LF0000X | Nurse Practitioner - Family | 209004468 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital South | Saint louis, MO | Hospital |
St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heart Care Specialists Llc | 2062774755 | 17 |
Gateway Cardiology Pc | 2466366372 | 6 |
Entity Name | Gateway Cardiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043267438 PECOS PAC ID: 2466366372 Enrollment ID: O20031120000849 |
Entity Name | Heart Care Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275031866 PECOS PAC ID: 2062774755 Enrollment ID: O20180316000334 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Stephen Logue, FAM NRS PRAC FNP 11140 S Towne Square, Suite # 105, St Louis, MO 63123 Ph: (314) 894-0787 | Mr Michael Stephen Logue, FAM NRS PRAC FNP 10012 Kennerly Road, Suite # 301, St Louis, MO 63128 Ph: (314) 894-0787 |
Mrs. Cathy Hinton, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4291 Parkview Place, St Louis, MO 63110 Phone: 314-454-8134 | |
Mrs. Mary H Brice, RN BC ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3023 N Ballas Rd, Suite 500d Rheumatology & Internal Med Assoc Of West Co, St Louis, MO 63131 Phone: 314-567-4541 Fax: 314-569-3647 | |
Ms. Shelly Ann Campbell, RN, ACNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: #1 Barnes Jewish, St Louis, MO 63110 Phone: 314-362-6620 Fax: 314-362-6660 | |
Cody Marie Eckelkamp, FNP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Road, St Louis, MO 63141 Phone: 636-667-3425 | |
Ms. Kathleen M Spranaitis, RN SC PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1465 S Grand, St Louis, MO 63104 Phone: 314-577-5647 Fax: 314-268-2775 | |
Mrs. Linda K Mccloud, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11125 Dunn Rd, Suite 304, St Louis, MO 63136 Phone: 314-355-1166 Fax: 314-355-9179 | |
Ms. Chloe Suzanne Datillo, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2865 Netherton Dr., St Louis, MO 63136 Phone: 314-653-1600 Fax: 314-355-5716 |