| Logan Grant Mills, MD | |
|
3401 W Gore Blvd, Lawton, OK 73505-6332 | |
| (580) 355-8620 | |
| Not Available |
| Full Name | Logan Grant Mills |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 4 Years |
| Location | 3401 W Gore Blvd, Lawton, Oklahoma |
| 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 |
|---|---|---|---|
| 1639755101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 43475 (Oklahoma) | Primary |
| 207Q00000X | Family Medicine | U1966 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comanche County Healthcare Corporation | 0749192433 | 88 |
| Entity Name | Comanche County Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352690 PECOS PAC ID: 0749192433 Enrollment ID: O20031106000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Grant Mills, MD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (817) 702-1244 | Logan Grant Mills, MD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620 |
Alexander F Degazon, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5602 Sw Lee Blvd, Southwest Medical Center, Lawton, OK 73505 Phone: 580-531-4700 | |
Antony Vincent Mancheril, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Pamela J Barry Duguid, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd, Suite 202, Lawton, OK 73505 Phone: 580-355-6731 Fax: 580-250-5806 |