Mr Michael Stephen Logue, FAM NRS PRAC FNP in St Louis, MO

Mr Michael Stephen Logue, FAM NRS PRAC FNP is a medicare enrolled "Nurse Practitioner - Family" in St Louis, Missouri. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Gateway Cardiology Pc and his current practice location is 10012 Kennerly Road, Suite # 301, St Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 894-0787.

Mr Michael Stephen Logue is licensed to practice in Missouri (license number 135879) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750338919.

Contact Information

	Mr Michael Stephen Logue, FAM NRS PRAC FNP
	10012 Kennerly Road, Suite # 301, St Louis, MO 63128
	(314) 894-0787
	(314) 729-1489

Map and Direction

Provider's Profile

Full Name	Mr Michael Stephen Logue
Gender	Male
Speciality	Nurse Practitioner
Experience	22 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.

Medical Education and Training:

Mr Michael Stephen Logue graduated from nursing school in 2002

NPI Data:

NPI Number: 1750338919
Provider Enumeration Date: 05/30/2006
Last Update Date: 11/07/2007

Medicare PECOS Information:

PECOS PAC ID: 2769380575
Enrollment ID: I20031230000511

Medical Identifiers

Medical identifiers for Mr Michael Stephen Logue such as npi, medicare ID, medicare PIN, medicaid, etc.

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

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	135879 (Missouri)	Primary
363LF0000X	Nurse Practitioner - Family	209004468 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gateway Cardiology Pc	2466366372	6

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Michael Stephen Logue allows following entities to bill medicare on his behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael Stephen Logue is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Nurse Practitioner Nurses in St Louis, MO

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

Mr Michael Stephen Logue, FAM NRS PRAC FNP - Medicare Nurse Practitioner in St Louis, MO