| Logan E Hyatt, PA | |
|
555 Justis Dr, Greeneville, TN 37745-4288 | |
| (423) 254-6460 | |
| (833) 908-2070 |
| Full Name | Logan E Hyatt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 555 Justis Dr, Greeneville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114924222 | NPI | - | NPPES |
| 700C810580 | Other | MI | BLUE CROSS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3711 (Tennessee) | Primary |
| Entity Name | Independent Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | W. A. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629000708 PECOS PAC ID: 0244136067 Enrollment ID: O20040612000395 |
| Entity Name | Independent Observation Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan E Hyatt, PA Po Box 26194, Belfast, ME 04915-2012 Ph: (865) 584-4747 | Logan E Hyatt, PA 555 Justis Dr, Greeneville, TN 37745-4288 Ph: (423) 254-6460 |
Katie Lynne Styke Boslooper, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5000 |
Rachiel Erin Gibson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 580 Van Hill Rd, Greeneville, TN 37745 Phone: 423-234-1020 Fax: 423-234-0646 |
Anna G Leach, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1410 Tusculum Blvd Ste 2200, Greeneville, TN 37745 Phone: 423-639-0243 Fax: 423-639-0628 |
Joanna Lee Roberts, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3430 E Andrew Johnson Hwy, Greeneville, TN 37745 Phone: 423-820-0033 Fax: 423-820-0034 |
Mr. Eric R Chlebisch, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1406 Tusculum Blvd, Suite 2000, Greeneville, TN 37745 Phone: 423-787-7080 Fax: 423-787-7087 |
Emily Susong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 438 E Vann Rd Ste 201, Greeneville, TN 37743 Phone: 423-278-1800 |
Kara Lankford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1404 Tusculum Blvd Ste 3000, Greeneville, TN 37745 Phone: 423-638-1188 |