| Ann Drayton Logan, MD | |
|
8244 East Us 36, Avon, IN 46123 | |
| (317) 272-3636 | |
| (317) 272-3646 |
| Full Name | Ann Drayton Logan |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 32 Years |
| Location | 8244 East Us 36, Avon, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437244597 | NPI | - | NPPES |
| 200161210 | Medicaid | IN | |
| 200259350 | Medicaid | IN | |
| 01045617B | Other | IN | CSR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 01045617 (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Dermatology Center Pc | 5496706210 | 11 |
| Entity Name | Cancer Care Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659491132 PECOS PAC ID: 1850295858 Enrollment ID: O20031121000316 |
| Entity Name | University Dermatology Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578615266 PECOS PAC ID: 5496706210 Enrollment ID: O20050616000779 |
| Entity Name | Margaret Mary Community Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1558368449 PECOS PAC ID: 5193714335 Enrollment ID: O20060126000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Drayton Logan, MD 6100 W 96th St, Suite 125, Indianapolis, IN 46278-6005 Ph: (317) 715-1800 | Ann Drayton Logan, MD 8244 East Us 36, Avon, IN 46123 Ph: (317) 272-3636 |
Stanley Scot Givens, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8244 East Us 36, Avon, IN 46123 Phone: 317-272-3636 Fax: 317-272-3646 | |
Dr. Jason M Ford, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Radiology Rm 11078, Avon, IN 46123 Phone: 317-715-6402 Fax: 317-715-6415 |