Logan Charles Mccool, | |
1401 Campus Dr, Clive, IA 50325-6500 | |
(515) 381-6519 | |
Not Available |
Full Name | Logan Charles Mccool |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 9 Years |
Location | 1401 Campus Dr, Clive, Iowa |
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 |
---|---|---|---|
1396122370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 85067 (Georgia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | DO-06305 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coffee Regional Medical Center, Inc | Douglas, GA | Hospital |
Dorminy Medical Center | Fitzgerald, GA | Hospital |
Bacon County Hospital | Alma, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Orthopedics | 5496742793 | 2 |
Entity Name | Southeastern Orthopedics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265536437 PECOS PAC ID: 5496742793 Enrollment ID: O20040428001139 |
Mailing Address | Practice Location Address |
---|---|
Logan Charles Mccool, 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (281) 724-3050 | Logan Charles Mccool, 1401 Campus Dr, Clive, IA 50325-6500 Ph: (515) 381-6519 |
Joseph J Chen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1401 Campus Dr, Clive, IA 50325 Phone: 877-749-7428 Fax: 512-628-3314 | |
Dr. Donna J Bahls, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 12499 University Ave, Suite 210, Clive, IA 50325 Phone: 515-327-1555 Fax: 515-327-1444 | |
Jeffrey Allen Pederson, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12493 University Ave Ste 100, Clive, IA 50325 Phone: 515-358-9461 Fax: 515-358-9489 | |
Ai Huong Phu, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12493 University Ave Ste 100, Clive, IA 50325 Phone: 515-358-9461 Fax: 515-358-9489 |