| Mr Logan Cook, FNP | |
|
2011 2nd St, Richlands, VA 24641-2305 | |
| (276) 345-9900 | |
| (276) 345-9901 |
| Full Name | Mr Logan Cook |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2011 2nd St, Richlands, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982080719 | NPI | - | NPPES |
| 1982080719 | Medicaid | VA | |
| Q016246 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024174236 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 20243 (Tennessee) | Primary |
| Entity Name | Morristown Heart Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700357035 PECOS PAC ID: 3072852284 Enrollment ID: O20190306001889 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Logan Cook, FNP 324 Laurel Cyn, Johnson City, TN 37615-4778 Ph: (423) 782-6845 | Mr Logan Cook, FNP 2011 2nd St, Richlands, VA 24641-2305 Ph: (276) 345-9900 |
Mrs. Carol Keen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6719 Gov Gc Perry Hwy, Richlands, VA 24641 Phone: 276-964-9102 | |
Mrs. Patricia Lynn Maggard, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: One Clinic Drive, Claypool Hill, Richlands, VA 24641 Phone: 276-964-6771 Fax: 276-964-1253 | |
Ms. Amy Lea Roberts, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6719 Gov. G. C. Peery Hwy., Suite 3100, Richlands, VA 24641 Phone: 276-964-9012 Fax: 276-963-2865 | |
Jennifer Lynn Hatfield-adkins, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6719 Governor Gc Peery Hwy Ste 1800, Richlands, VA 24641 Phone: 276-964-6771 | |
April Colley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6719 Governor Gc Peery Hwy Ste 1400, Richlands, VA 24641 Phone: 276-596-9510 Fax: 276-596-9512 | |
Ms. Angela Hendricks Harrison, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Clinic Dr, Claypool Hill, Richlands, VA 24641 Phone: 276-964-6771 Fax: 276-964-1321 | |
Mrs. Tammy Richardson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2949 Front St, Richlands, VA 24641 Phone: 276-596-6634 Fax: 276-596-6635 |