| Logan Sparks, PA | |
|
3815 Pelham St Ste 13, Dearborn, MI 48124-3852 | |
| (313) 722-4683 | |
| (313) 241-9342 |
| Full Name | Logan Sparks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 3815 Pelham St Ste 13, Dearborn, Michigan |
| 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 |
|---|---|---|---|
| 1306436845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601010419 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Advanced Psychiatry, P.c. | 2567877574 | 9 |
| Entity Name | Tri-county Counseling Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225339906 PECOS PAC ID: 3173703907 Enrollment ID: O20110210000427 |
| Entity Name | Taylor Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013321033 PECOS PAC ID: 2769706381 Enrollment ID: O20150130000264 |
| Entity Name | Best Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952791105 PECOS PAC ID: 4082930722 Enrollment ID: O20150224001082 |
| Entity Name | Canton Urgent Care Walk-in Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649712480 PECOS PAC ID: 4486934452 Enrollment ID: O20161208001492 |
| Entity Name | Clinton Urgent Care Walk in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831610070 PECOS PAC ID: 7719257625 Enrollment ID: O20170726002006 |
| Entity Name | Shelby Urgent Care Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285155119 PECOS PAC ID: 6800155417 Enrollment ID: O20180104001566 |
| Entity Name | Rochester Urgent Care Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225554694 PECOS PAC ID: 4183983380 Enrollment ID: O20180116001545 |
| Entity Name | Sterling Heights Urgent Care Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912413949 PECOS PAC ID: 5092077586 Enrollment ID: O20180321001039 |
| Entity Name | Chesterfield Urgent Care Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629547195 PECOS PAC ID: 7012253537 Enrollment ID: O20190103002800 |
| Entity Name | Core Psych, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871069039 PECOS PAC ID: 8325384225 Enrollment ID: O20190115000198 |
| Entity Name | Commerce Urgent Care Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952823825 PECOS PAC ID: 1153663133 Enrollment ID: O20190423000066 |
| Entity Name | Doctors Urgent Care Southfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326660929 PECOS PAC ID: 6406279884 Enrollment ID: O20200701001810 |
| Entity Name | Michigan Advanced Psychiatry, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629686837 PECOS PAC ID: 2567877574 Enrollment ID: O20210224000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Sparks, PA 3815 Pelham St Ste 13, Dearborn, MI 48124-3852 Ph: (313) 722-4683 | Logan Sparks, PA 3815 Pelham St Ste 13, Dearborn, MI 48124-3852 Ph: (313) 722-4683 |
Mr. Charles G. Papazian, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwoo0d Blvd, Dearborn, MI 48124 Phone: 313-593-7408 |
Brian Jeffrey Vosko, M.S., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21031 Michigan Ave, Dearborn, MI 48124 Phone: 313-277-6700 Fax: 313-216-0176 |
Meredith Ann Halloran, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-551-3745 |
Mark Doerr, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23823 Ford Rd, Dearborn, MI 48128 Phone: 313-277-4146 |
Mr. Michael T Price, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19401 Hubbard Drive, Henry Ford Hospital Fairlaine Er, Dearborn, MI 48126 Phone: 313-982-8369 |
Summer Zayed, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-438-7992 Fax: 313-438-7990 |
Aisha Balol, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5250 Auto Club Dr Ste 300, Dearborn, MI 48126 Phone: 313-724-9000 |