| Logan Family Practice Llc | |
|
1719 Nashville St Russellville KY 42276-7804 | |
| (270) 726-7664 | |
| Not Available |
| Full Name | Logan Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1719 Nashville St, Russellville, Kentucky |
| Authorized Official Name and Position | Johnetta Traylor (AO) |
| Authorized Official Contact | 5025966063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Family Practice Llc 680 S 4th St Louisville KY 40202-2407 Ph: (502) 596-6063 | Logan Family Practice Llc 1719 Nashville St Russellville KY 42276-7804 Ph: (270) 726-7664 |
| NPI Number | 1285207241 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 06/26/2025 |
| Medicare PECOS PAC ID | 7719384163 |
|---|---|
| Medicare Enrollment ID | O20210928000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285207241 | NPI | - | NPPES |
| Provider Name | Patrick K Hayden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295847184 PECOS PAC ID: 5799756102 Enrollment ID: I20040802000131 |
| Provider Name | Erinn Lynn Basista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457954471 PECOS PAC ID: 3678986981 Enrollment ID: I20210105003292 |
| Provider Name | Melissa D Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922678143 PECOS PAC ID: 5890183842 Enrollment ID: I20211025003102 |
Southern Kentucky Primary Care, P.s.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 W 2nd St, Russellville, KY 42276 Phone: 270-881-1813 Fax: 270-886-6600 | |
Great Physician Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 Hopkinsville Rd, Russellville, KY 42276 Phone: 270-726-9568 Fax: 270-726-9570 | |
Logan Physician Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 Hopkinsville Rd, Russellville, KY 42276 Phone: 270-726-2738 Fax: 270-726-9508 | |
Singh Medical Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1405 Nashville St, Russellville, KY 42276 Phone: 270-725-9700 Fax: 270-783-3751 | |
Community Health Centers Of Western Kentucky Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1497 Nashville Road, Russellville, KY 42276 Phone: 270-726-1266 Fax: 270-726-1961 | |
Lawrence Joseph Gotts Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 S Nashville St, Suite 104, Russellville, KY 42276 Phone: 270-726-4444 Fax: 270-726-4400 |