| Logan James Stover, PA-C | |
|
100 Hospital Ave, Du Bois, PA 15801-1440 | |
| (814) 371-2200 | |
| Not Available |
| Full Name | Logan James Stover |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 100 Hospital Ave, Du Bois, Pennsylvania |
| 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 |
|---|---|---|---|
| 1508756420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA066756 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | OA007314 (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penn Highlands Dubois | Dubois, PA | Hospital |
| Penn Highlands Elk | Saint marys, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dubois Regional Medical Center | 5890689715 | 424 |
| Clearfield-jefferson Primary Care Associates Pc | 6002064433 | 73 |
| Elk Regional Health Center | 7517870512 | 47 |
| Entity Name | Elk Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114460391 PECOS PAC ID: 7517870512 Enrollment ID: O20031120000016 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992802391 PECOS PAC ID: 5890689715 Enrollment ID: O20050411000464 |
| Entity Name | Clearfield-jefferson Primary Care Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710233895 PECOS PAC ID: 6002064433 Enrollment ID: O20120910000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan James Stover, PA-C 3021 Williams Rd, Clearfield, PA 16830-7134 Ph: (814) 762-0394 | Logan James Stover, PA-C 100 Hospital Ave, Du Bois, PA 15801-1440 Ph: (814) 371-2200 |
Mrs. Autumn Nicole Malliard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave Ste 300, Du Bois, PA 15801 Phone: 814-375-2040 Fax: 814-375-2045 |
Gregory Louis Carpenter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave, Suite 311, Du Bois, PA 15801 Phone: 814-375-3750 Fax: 814-375-9624 |
Nicholas E Sipes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-3261 Fax: 814-375-3397 |
Lauren Elizabeth Quick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave Ste 311, Du Bois, PA 15801 Phone: 814-231-2101 |
Melissa Marie Hilliard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave, Suite 301, Du Bois, PA 15801 Phone: 814-375-4000 Fax: 814-375-4011 |
Kristina Marie Hoover, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-771-2141 |
Brady Martin Skiles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-371-2200 |