| Brian J Logue, MD | |
|
2907 S Mcintire Dr, Bloomington, IN 47403-4224 | |
| (812) 332-8765 | |
| (812) 336-3425 |
| Full Name | Brian J Logue |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 42 Years |
| Location | 2907 S Mcintire Dr, Bloomington, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467450767 | NPI | - | NPPES |
| 100167090 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01037620A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Urology Institute Llc | 2163653585 | 136 |
| Entity Name | Advanced Urology Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023447935 PECOS PAC ID: 2163653585 Enrollment ID: O20140328000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J Logue, MD 2907 Mcintyre Dr, Bloomington, IN 47403-4209 Ph: (812) 332-8765 | Brian J Logue, MD 2907 S Mcintire Dr, Bloomington, IN 47403-4224 Ph: (812) 332-8765 |
Dr. Dean L Lenz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4300 Fax: 812-676-4301 | |
Bryan D Hoff, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1302 S Rogers St, Bloomington, IN 47403 Phone: 812-353-3996 Fax: 812-353-5859 | |
Paula J Bunde, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500 Fax: 812-676-4501 | |
Mr. Eric M Smith, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2907 S Mcintire Dr, Bloomington, IN 47403 Phone: 812-332-8765 Fax: 812-336-3425 | |
Ashley Shumate, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4300 | |
Gregory T Walker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4300 Fax: 812-676-4301 |