| Dr Thomas Lee Logan, MD | |
|
1901 Sw 172nd Ave, Miramar, FL 33029-5592 | |
| (954) 538-5000 | |
| Not Available |
| Full Name | Dr Thomas Lee Logan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 51 Years |
| Location | 1901 Sw 172nd Ave, Miramar, Florida |
| 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 |
|---|---|---|---|
| 1083642524 | NPI | - | NPPES |
| 50401 | Other | FL | BLUE SHIELD |
| 270924400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | ME91276 (Florida) | Primary |
| 207P00000X | Emergency Medicine | ME91276 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Miramar | Miramar, FL | Hospital |
| Hendry Regional Medical Center | Clewiston, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Small Hospital Innovations Llc | 0840415444 | 52 |
| Entity Name | Inphynet South Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871521880 PECOS PAC ID: 4587563960 Enrollment ID: O20040108000083 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Lee Logan, MD 14050 Nw 14th St Ste 190, Sunrise, FL 33323-2851 Ph: (800) 424-3672 | Dr Thomas Lee Logan, MD 1901 Sw 172nd Ave, Miramar, FL 33029-5592 Ph: (954) 538-5000 |
Dr. Deanna Soloway-simon, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 | |
Yen-jwu O Lamm, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Ste 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dr. Sharon B Hernandez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 | |
Dr. Yassir Irizarry-cruz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 19014 Sw 17 Court, Miramar, FL 33029 Phone: 787-750-0930 | |
Dr. Paul F Mele, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027 Phone: 305-866-9951 Fax: 877-284-8933 | |
William Adrian Blackwell, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 Phone: 877-866-7123 |