| Charles Alexander Logan, | |
|
2004 Hayes St, Nashville, TN 37203-2646 | |
| (613) 324-1600 | |
| Not Available |
| Full Name | Charles Alexander Logan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2004 Hayes St, Nashville, Tennessee |
| 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 |
|---|---|---|---|
| 1609416148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27028 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Sports Medicine And Orthopaedic Center Plc | 8729009634 | 79 |
| Entity Name | Elite Sports Medicine And Orthopaedic Center Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528281623 PECOS PAC ID: 8729009634 Enrollment ID: O20051207000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Alexander Logan, 2004 Hayes St, Nashville, TN 37203-2646 Ph: (615) 804-9304 | Charles Alexander Logan, 2004 Hayes St, Nashville, TN 37203-2646 Ph: (613) 324-1600 |
Rosie K Blakemore, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Tennessee Prison For Women, 3881 Stewarts Lane, Nashville, TN 37243 Phone: 615-741-1255 Fax: 615-726-2181 | |
Daniel Barrett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Jacquelyn L. Garner, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Aaron Wesley Scott, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 | |
Gold Nwokochah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2805 Foster Ave Ste 207, Nashville, TN 37210 Phone: 206-554-1900 | |
Ms. Leslie Elizabeth Newman, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 | |
Anna Kathleen Nebel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 23rd Ave N, Suite 300, Nashville, TN 37203 Phone: 615-342-6010 Fax: 615-342-5943 |