NPIMap

Logan Family Practice LLC

A Medicare group practice based in Russellville, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7719384163), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7719384163The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
1
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20210928000378 KY Part B Supplier - Clinic/Group Practice 1285207241

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 5

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (4).

Sources for this page