Fort Logan Profees is a medicare enrolled "Nurse Anesthetist, Certified Registered" provider in Stanford, Kentucky. Their current practice location is
110 Metker Trail, Stanford, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(606) 365-2187.
Fort Logan Profees is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fort Logan Profees
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114121159.
Healthcare Provider's Profile
| Full Name | Fort Logan Profees |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 110 Metker Trail, Stanford, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1114121159
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 08/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 7416842364
- Enrollment ID: O20040218001128
Medical Identifiers
Medical identifiers for Fort Logan Profees such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114121159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fort Logan Profees acts as a billing entity for following providers:
| Provider Name | Eric S Gosser |
|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
|---|
| Provider Identifiers | NPI Number: 1518094002
PECOS PAC ID: 3173621687
Enrollment ID: I20070607000123 |
|---|
| Provider Name | William C Stafford |
|---|
| Provider Type | Practitioner - Family Practice |
|---|
| Provider Identifiers | NPI Number: 1972691541
PECOS PAC ID: 6709956485
Enrollment ID: I20081121000171 |
|---|
| Provider Name | Susan Adams |
|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
|---|
| Provider Identifiers | NPI Number: 1215203088
PECOS PAC ID: 8022279173
Enrollment ID: I20120417000243 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fort Logan Profees is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fort Logan Profees
217 S 3rd St,
Danville, KY 40422-1823
Ph: (859) 239-1000 | Fort Logan Profees
110 Metker Trail,
Stanford, KY 40484
Ph: (606) 365-2187 |
Reviews and Comments