| Logan Faye Scoggins Sisson, FNP | |
|
200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | |
| (501) 492-0099 | |
| (479) 968-1673 |
| Full Name | Logan Faye Scoggins Sisson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 200 River Market Ave Ste 300, Little Rock, Arkansas |
| 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 |
|---|---|---|---|
| 1295311280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R096117 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 214844 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dallas County Medical Center | Fordyce, AR | Hospital |
| Bradley County Medical Center | Warren, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Board Of Governors Of Dallas County Medical Center | 7416869300 | 7 |
| Entity Name | Board Of Governors Of Dallas County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043308935 PECOS PAC ID: 7416869300 Enrollment ID: O20040302000815 |
| Entity Name | Midsouth Transitions Arkansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003427873 PECOS PAC ID: 1153731005 Enrollment ID: O20201103002747 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Faye Scoggins Sisson, FNP Po Box 9178, Russellville, AR 72811-9178 Ph: (855) 498-6767 | Logan Faye Scoggins Sisson, FNP 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 Ph: (501) 492-0099 |
Tammie R Glover-brockinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-7000 | |
Rachael Nichole Daugherty, APN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205 Phone: 501-552-4777 Fax: 501-552-4482 | |
Lauren Searcy, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-364-1100 | |
Mrs. Michelle Parish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 W Markham St, Little Rock, AR 72205 Phone: 501-227-0184 | |
Ashley Benton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Chenal Heights Dr, Little Rock, AR 72223 Phone: 501-830-2271 | |
Rachel Sloan, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Elizabeth Fiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10025 W Markham St Ste 210, Little Rock, AR 72205 Phone: 501-663-5473 Fax: 501-801-1816 |