Dustin Allen Logue, ANP | |
12902 Plank Rd, Baker, LA 70714-4911 | |
(225) 369-7006 | |
(225) 774-2827 |
Full Name | Dustin Allen Logue |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 12902 Plank Rd, Baker, Louisiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003146226 | NPI | - | NPPES |
2110691 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 06078 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chase Health Care Inc. | Baton rouge, LA | Home health agency |
Lane Regional Medical Center | Zachary, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Louisiana Primary Care, Llc | 7416245923 | 3 |
Entity Name | South Louisiana Primary Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447705074 PECOS PAC ID: 7416245923 Enrollment ID: O20161017002159 |
Mailing Address | Practice Location Address |
---|---|
Dustin Allen Logue, ANP 12902 Plank Rd, Baker, LA 70714-4911 Ph: (225) 369-7006 | Dustin Allen Logue, ANP 12902 Plank Rd, Baker, LA 70714-4911 Ph: (225) 369-7006 |
Megan Mccoy Dale, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12902 Plank Rd, Baker, LA 70714 Phone: 225-774-0733 Fax: 225-774-7777 | |
Mrs. Mallory Bankston, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12880 Plank Rd, Baker, LA 70714 Phone: 225-774-7111 Fax: 225-774-7714 | |
Mrs. Kendra Paul Patrick, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14224 Felicity Drive, Baker, LA 70714 Phone: 225-454-3744 | |
Oreal Perkins, N P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17511 Wisdom Dr, Baker, LA 70714 Phone: 225-335-2980 Fax: 225-306-1570 | |
Crissy Carrier Sharpe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6420 Groom Rd, Baker, LA 70714 Phone: 225-412-2781 | |
Hailey Mcmanus Murphy, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12902 Plank Rd, Baker, LA 70714 Phone: 225-774-0733 |