| Shelby Fox Logan, PA-C | |
|
702 Sw Ramsey Ave Ste 112, Grants Pass, OR 97527-5859 | |
| (541) 472-0603 | |
| (541) 472-0609 |
| Full Name | Shelby Fox Logan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 702 Sw Ramsey Ave Ste 112, Grants Pass, Oregon |
| 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 |
|---|---|---|---|
| 1619250826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA205860 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Curry General Hospital | Gold beach, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Oregon Orthopedics Inc | 1456256528 | 64 |
| Entity Name | Southern Oregon Orthopedics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518093376 PECOS PAC ID: 1456256528 Enrollment ID: O20031202000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Fox Logan, PA-C 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 Ph: (541) 779-6250 | Shelby Fox Logan, PA-C 702 Sw Ramsey Ave Ste 112, Grants Pass, OR 97527-5859 Ph: (541) 472-0603 |
Jordan Personius, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-789-4281 |
Julia Senestraro, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 Sw Grandview Ave Ste 200, Grants Pass, OR 97527 Phone: 541-479-8363 |
Jennifer Lauren Cramer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Ne 7th St, Grants Pass, OR 97526 Phone: 541-460-5331 Fax: 541-460-5165 |
Mrs. Esther M Carson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1309 Ne 6th St, Grants Pass, OR 97526 Phone: 541-479-3367 Fax: 541-479-0215 |
Ian James Chamberlain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1021 Ne 6th St, Grants Pass, OR 97526 Phone: 541-672-7546 |
Mrs. Kimberly L Waller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 |
Nolan Bastendorff, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 537 Union Ave Fl 2, Grants Pass, OR 97527 Phone: 541-507-2110 |