| 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 |
|---|---|
| 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 |
Dr. Stephanie Neville, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211 | |
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 |