| Mrs Laura T Logan, APRN | |
|
1577 Roberts Dr Ste 224, Jacksonville Beach, FL 32250-3265 | |
| (904) 246-6940 | |
| (904) 390-7454 |
| Full Name | Mrs Laura T Logan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1577 Roberts Dr Ste 224, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497098586 | NPI | - | NPPES |
| 018814600 | Medicaid | FL | |
| 018008600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9162621 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9162621 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 454 |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laura T Logan, APRN Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Mrs Laura T Logan, APRN 1577 Roberts Dr Ste 224, Jacksonville Beach, FL 32250-3265 Ph: (904) 246-6940 |
Nicole Thomas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1891 Beach Blvd, Suite 200, Jacksonville Beach, FL 32250 Phone: 904-249-3743 Fax: 904-249-2047 | |
Glynnis Marie Winfree, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1351 13th Ave S Ste 120, Jacksonville Beach, FL 32250 Phone: 904-223-3321 Fax: 904-223-2169 | |
Kenneth C Ryan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250 Phone: 904-249-1041 Fax: 904-249-9764 | |
Mrs. Erica Francisca Andrade, APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 904-982-0885 | |
Ms. Michelle M Krawczyk, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-9899 | |
Lindsay Vines, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1361 13th Ave S Ste 180, Jacksonville Beach, FL 32250 Phone: 850-247-4300 | |
Lisa Kay Breedlove, FNP-APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1198 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-372-9137 |