| Dr Theodore P Logan, MD | |
|
12 Union St, Rockland, ME 04841-2739 | |
| (207) 701-4400 | |
| (207) 701-4487 |
| Full Name | Dr Theodore P Logan |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 43 Years |
| Location | 12 Union St, Rockland, Maine |
| 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 |
|---|---|---|---|
| 1427054873 | NPI | - | NPPES |
| 255750099 | Medicaid | ME | |
| 047853 | Other | ME | ANTHEM STAR NUMBER |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth | 7517860588 | 2288 |
| Acadia Hospital Corp. | 7719878495 | 73 |
| Entity Name | Acadia Hospital Corp. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Penobscot Bay Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982645305 PECOS PAC ID: 2163320508 Enrollment ID: O20060316000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore P Logan, MD 300 Southborough Dr, Suite 201, South Portland, ME 04106-6914 Ph: (207) 661-2018 | Dr Theodore P Logan, MD 12 Union St, Rockland, ME 04841-2739 Ph: (207) 701-4400 |
Dr. Richard E. Nilson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4400 Fax: 207-701-4487 | |
James Richard Young, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-338-2295 Fax: 207-338-2388 | |
Dr. Harold Williams Van Lonkhuyzen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12 Union Street, Rockland, ME 04841 Phone: 207-701-4402 Fax: 207-701-4486 | |
Nicole Sarah Rockwell Jederlinic, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4400 Fax: 207-701-4487 | |
Anne Cohen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4477 Fax: 207-701-4486 | |
Linda K Madson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12 Union St, Rockland, ME 04841 Phone: 207-701-4400 |