| Logan G Langley, PA-C | |
|
224 Nw Crane Ave, Madison, FL 32340-1400 | |
| (850) 253-1917 | |
| Not Available |
| Full Name | Logan G Langley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 224 Nw Crane Ave, Madison, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558944827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9114280 (Florida) | Primary |
| Entity Name | Southland Ems at Madison, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801024880 PECOS PAC ID: 1456497437 Enrollment ID: O20091005000551 |
| Entity Name | North Meridian Medical Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760740237 PECOS PAC ID: 2769631456 Enrollment ID: O20121015000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan G Langley, PA-C 224 Nw Crane Ave, Madison, FL 32340-1400 Ph: (850) 253-1917 | Logan G Langley, PA-C 224 Nw Crane Ave, Madison, FL 32340-1400 Ph: (850) 253-1917 |
Mrs. Gena Plain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 235 Sw Dade St, Madison, FL 32340 Phone: 850-973-8851 Fax: 850-973-8851 |
Thomas Harvey Greene Iii, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 248 Ne Hancock Ave, Madison, FL 32340 Phone: 850-973-9980 Fax: 850-973-9988 |