| Dr Jeremy James Logan, MD | |
|
1460 Ne Medical Center Dr, Bend, OR 97701-6061 | |
| (541) 382-6633 | |
| (541) 383-4577 |
| Full Name | Dr Jeremy James Logan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 1460 Ne Medical Center Dr, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1053383729 | NPI | - | NPPES |
| 83852 | Medicaid | NM | |
| 992108 | Medicaid | AZ | |
| 202003153 | Other | PRESBYTERIAN HEALH/SALUD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 81641-20 (Wisconsin) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD2005-0545 (New Mexico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wallowa Memorial Hospital | Enterprise, OR | Hospital |
| Harney District Hospital | Burns, OR | Hospital |
| St Charles Prineville | Prineville, OR | Hospital |
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Blue Mountain Hospital | John day, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Oregon Radiology Assoc Pc | 9335132091 | 38 |
| Central Oregon Radiology Assoc Pc | 9335132091 | 38 |
| Cascade Medical Imaging Llc | 9537140108 | 34 |
| Entity Name | Radiology Associates Of Albuquerque Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881666998 PECOS PAC ID: 2860304482 Enrollment ID: O20031103000381 |
| Entity Name | Advanced Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558416974 PECOS PAC ID: 2860451648 Enrollment ID: O20070723000756 |
| Entity Name | Unm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20210802000873 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20230128000300 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20230128000394 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20230130000750 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20230130002209 |
| Entity Name | Central Oregon Radiology Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590081 PECOS PAC ID: 9335132091 Enrollment ID: O20240416001074 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy James Logan, MD 1460 Ne Medical Center Dr, Bend, OR 97701-6061 Ph: (541) 382-6633 | Dr Jeremy James Logan, MD 1460 Ne Medical Center Dr, Bend, OR 97701-6061 Ph: (541) 382-6633 |
Dr. Nicholas Song Boehling, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-5800 Fax: 541-706-6341 | |
Dr. Casey George Curran, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1460 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-6633 Fax: 541-382-2719 | |
Dr. Brant David Wommack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1460 Ne Medical Ctr Dr, Bend, OR 97701 Phone: 541-382-6633 Fax: 541-382-2719 | |
Richard Rotondi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2052 Ne 4th St, Bend, OR 97701 Phone: 541-280-2789 | |
Steven Dean Kjobech, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1460 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-6633 Fax: 541-382-2719 | |
Dr. David Krieves, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1460 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-6633 Fax: 541-382-9327 |