| Andrea F Logan, MD | |
|
1129 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | |
| (228) 818-5008 | |
| (228) 818-5012 |
| Full Name | Andrea F Logan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1129 Ocean Springs Rd, Ocean Springs, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407019375 | NPI | - | NPPES |
| 08607835 | Medicaid | MS | |
| 21719 | Other | MS | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | AU5009697 1339 (Mississippi) | Secondary |
| 208000000X | Pediatrics | 21719 (Mississippi) | Primary |
| Entity Name | Singing River Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435 |
| Entity Name | Singing River Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea F Logan, MD 1129 Ocean Springs Rd, Ocean Springs, MS 39564-3421 Ph: (228) 818-5008 | Andrea F Logan, MD 1129 Ocean Springs Rd, Ocean Springs, MS 39564-3421 Ph: (228) 818-5008 |
Dr. William Van Wurm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3631 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-0585 Fax: 228-818-0588 | |
Dr. David Leon Dugger, M.D.,F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 Government St, Ocean Springs, MS 39564 Phone: 228-818-2450 Fax: 228-818-2451 | |
Dr. Trishna Sisodraker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Groveland Rd, Ocean Springs, MS 39564 Phone: 228-875-0780 | |
Ana Pitocchi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Groveland Rd, Ocean Springs, MS 39564 Phone: 228-875-0780 | |
George David Fain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Marks Rd, Ocean Springs, MS 39564 Phone: 228-818-0563 Fax: 228-818-0519 | |
Janine Grace Anfone Espiritu, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Groveland Rd, Ocean Springs, MS 39564 Phone: 228-875-0780 Fax: 228-875-1009 |