Stephenny Logan, | |
1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 | |
(317) 859-3737 | |
(317) 859-3730 |
Full Name | Stephenny Logan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1703 W Stones Crossing Rd Ste 200, Greenwood, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922715275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71013230A (Indiana) | Primary |
Entity Name | Wound Solutions Of Semo Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578340360 PECOS PAC ID: 8325490261 Enrollment ID: O20240117000309 |
Mailing Address | Practice Location Address |
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Stephenny Logan, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Stephenny Logan, 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 Ph: (317) 859-3737 |
Marilyn Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2867 Bloomsbury S, Greenwood, IN 46143 Phone: 317-402-6341 | |
Patricia Justine Irvin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Us Highway 31 S, Greenwood, IN 46143 Phone: 317-883-0567 | |
Laura Walradth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Valley Lane Ct, Greenwood, IN 46142 Phone: 317-508-4985 | |
Meagan Lee Mcdurfee, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2355 Endress Pl Suite A, Greenwood, IN 46143 Phone: 317-530-1811 Fax: 317-963-1621 | |
Haleigh Ann Tharp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Hannah E Mason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869 | |
Mrs. Cassie A Himes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1703 W Stones Crossing Rd Ste 310, Greenwood, IN 46143 Phone: 317-887-6060 Fax: 317-859-5944 |