| Logan David Driscoll, | |
|
12499 University Ave Ste 210, Clive, IA 50325-8288 | |
| (515) 440-2676 | |
| Not Available |
| Full Name | Logan David Driscoll |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 12499 University Ave Ste 210, Clive, Iowa |
| 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 |
|---|---|---|---|
| 1184264921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Knoxville Hospital & Clinics | Knoxville, IA | Hospital |
| Boone County Hospital | Boone, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Orthopaedics And Sports Medicine Pc | 3476691551 | 18 |
| Knoxville Community Hospital Inc | 6608787056 | 30 |
| Boone County Comprehensive Specialty Care | 8022012293 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan David Driscoll, 1005 Ne Cypress Cir, Grimes, IA 50111-1241 Ph: (515) 991-6227 | Logan David Driscoll, 12499 University Ave Ste 210, Clive, IA 50325-8288 Ph: (515) 440-2676 |
Kelly Marie Thomason, MSPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12327 Stratford Dr, Clive, IA 50325 Phone: 515-224-7088 Fax: 515-224-9228 | |
Kate Pithan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12493 University Ave Ste 110, Clive, IA 50325 Phone: 515-358-9400 Fax: 515-358-9420 | |
Maggie Gebauer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw 114th St Ste 342, Clive, IA 50325 Phone: 515-222-7600 Fax: 515-222-7601 | |
Michon Dianne Leddy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2480 Berkshire Pkwy, Clive, IA 50325 Phone: 515-225-2578 Fax: 515-225-2598 | |
Gloria J Thielking, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12327 Stratford Dr, Clive, IA 50325 Phone: 515-224-7088 Fax: 515-224-9228 | |
Austin Lee Schmidt, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1275 Nw 128th St Ste 200, Clive, IA 50325 Phone: 515-224-3948 | |
Betsy Jo Bolton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12499 University Ave Ste 210, Clive, IA 50325 Phone: 515-440-2676 Fax: 515-440-2677 |