William C Logan Jr, MD | |
724 N Main St, Laconia, NH 03246-2742 | |
(603) 524-9201 | |
Not Available |
Full Name | William C Logan Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 724 N Main St, Laconia, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588603682 | NPI | - | NPPES |
T72123 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 23138 (South Carolina) | Primary |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20171201002832 |
Mailing Address | Practice Location Address |
---|---|
William C Logan Jr, MD 250 Pleasant St, Concord, NH 03301-7559 Ph: (603) 227-7000 | William C Logan Jr, MD 724 N Main St, Laconia, NH 03246-2742 Ph: (603) 524-9201 |
Nino Idoidze, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211 | |
Farkhat Galiullin, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211 Fax: 603-737-6713 | |
Dr. Mary-claire Sampas Paicopolis, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Spring St, Laconia, NH 03246 Phone: 603-528-8555 Fax: 603-528-7668 | |
Noshi A Ishak, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 87 Spring Street, Laconia, NH 03246 Phone: 603-524-8896 Fax: 603-524-8796 | |
Gurpinder Singh, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Highland Street, Laconia, NH 03246 Phone: 603-524-3211 Fax: 603-737-6713 | |
Shamai Kurbitaeva, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 347-844-2314 | |
Sharan Sharma, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211 Fax: 603-737-6713 |