<unavail> in Logan, UT - Medicare Pediatrics

is a medicare enrolled primary clinic (Pediatrics) in Logan, Utah. The current practice location for is 1325 N 600 E Ste 101, Logan, Utah. For appointments, you can reach them via phone at (435) 213-3970. The mailing address for is 1325 N 600 E Ste 101, Logan, Utah and phone number is (435) 213-3970.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619553864. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (435) 213-3970.

Contact Information


	1325 N 600 E Ste 101 Logan UT 84341-6743
	(435) 213-3970
	(435) 355-3746

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Pediatrics
Location	1325 N 600 E Ste 101, Logan, Utah
Authorized Official Name and Position	Miranda Overy Bryan (PRACTICE MANAGER)
Authorized Official Contact	4357999101
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1325 N 600 E Ste 101 Logan UT 84341-6743 Ph: (435) 213-3970	1325 N 600 E Ste 101 Logan UT 84341-6743 Ph: (435) 213-3970

NPI Details:

NPI Number	1619553864
Provider Enumeration Date	03/18/2021
Last Update Date	11/16/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	7315343738
Medicare Enrollment ID	O20210910001265

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619553864	NPI	-	NPPES
528112320001	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Bruce Alan O Very
Provider Type	Practitioner - Pediatric Medicine
Provider Identifiers	NPI Number: 1225047996 PECOS PAC ID: 8022901362 Enrollment ID: I20040203000803

Provider Name	Emily Fonua
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1184297129 PECOS PAC ID: 4981084399 Enrollment ID: I20220701001021

Provider Name	Sarah Hope Horton
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1043085012 PECOS PAC ID: 3274985551 Enrollment ID: I20240123001598

Reviews and Comments

Pediatrics in Logan, UT

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1281 N 600 E, Logan, UT 84341 Phone: 435-716-1130
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste Xy, Logan, UT 84341 Phone: 801-393-5355 Fax: 801-394-4609
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste Xy, Logan, UT 84341 Phone: 435-757-1315
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 981 S Main St Ste 220, Logan, UT 84321 Phone: 435-363-2980 Fax: 435-514-0075
Bridge Utah Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E 100 N, Logan, UT 84321 Phone: 888-221-0423 Fax: 888-221-9816
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 N 400 E, Logan, UT 84341 Phone: 435-753-2842
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-752-0422

- Medicare Primary Care in Logan, UT