Mark Logan, MD | |
215 Pesetas Ln, Santa Barbara, CA 93110-1416 | |
(805) 681-1761 | |
(805) 681-1768 |
Full Name | Mark Logan |
---|---|
Gender | Male |
Speciality | Dermatology - Procedural Dermatology |
Location | 215 Pesetas Ln, Santa Barbara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902819964 | NPI | - | NPPES |
00G592980 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | G59298 (California) | Primary |
Entity Name | Sansum Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154354504 PECOS PAC ID: 3678471976 Enrollment ID: O20031223000607 |
Mailing Address | Practice Location Address |
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Mark Logan, MD Po Box 62106, Santa Barbara, CA 93160-2106 Ph: (805) 681-1761 | Mark Logan, MD 215 Pesetas Ln, Santa Barbara, CA 93110-1416 Ph: (805) 681-1761 |
Dr. Rebecca Dawn Miller, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 334 S Patterson Ave, Ste 105, Santa Barbara, CA 93111 Phone: 805-964-1514 Fax: 805-964-0861 | |
George Keith Llewellyn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1722 State St, Ste 103, Santa Barbara, CA 93101 Phone: 805-884-4900 Fax: 805-884-4900 | |
Meredith A Perrin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 334 S Patterson Ave Ste 105, Santa Barbara, CA 93111 Phone: 805-964-1514 Fax: 805-964-0861 | |
Dr. Mark E Burnett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2323 Oak Park Ln Ste 202, Santa Barbara, CA 93105 Phone: 805-892-8111 | |
Dr. Peter Ford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 317 W Pueblo St, Santa Barbara, CA 93105 Phone: 805-681-1761 Fax: 805-681-1768 | |
Dr. Thomas A Vanmeter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 334 S Patterson Ave, Ste 105, Santa Barbara, CA 93111 Phone: 805-964-1514 Fax: 805-964-0861 | |
Dr. Roy C. Grekin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath Street, Suite 205, Santa Barbara, CA 93105 Phone: 805-569-1164 Fax: 805-569-1094 |