Dustin Logue (NPI# 1003146226, PAC ID# 2769513423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003146226 |
| PAC ID by PECOS | 2769513423 |
| Professional Enrollment ID | I20100624000938 |
| Full Name | Dustin Logue |
| Address |
12902 Plank Rd Baker LA 70714-4911 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190020 | LANE REGIONAL MEDICAL CENTER |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12902 Plank Rd, Baker, LA 70714-4911 |
| Street Address |
12902 PLANK RD |
| City | BAKER |
| State | LA |
| Zip | 70714-4911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ernest G Thompson Jr. | Internal Medicine | 12902 Plank Rd, Baker, LA 70714-4911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oreal Shantell Perkins | Nurse Practitioner | 17511 Wisdom Dr, Baker, LA 70714-1527 | |
| Andre B Stewart | Nurse Practitioner | 3612 Baker Blvd, Baker, LA 70714-2513 | |
| Julian C Mcculloch | Physical Therapy | 4971 Groom Rd, Baker, LA 70714-3145 | |
| Michael D Gaines | Clinical Social Worker | 2944 Ray Weiland Dr, Baker, LA 70714-3250 | |
| Rodolfo M Manalac | General Practice | 3034 Ray Weiland Dr, Baker, LA 70714-3252 | |
| Rick L Prewitt | Chiropractic | 3121 Van Buren St, Suite B, Baker, LA 70714-3464 | |
| Annisa L Stover | Nurse Practitioner | 330 Main St, Baker, LA 70714-3767 | |
| Brad Giarrusso | Internal Medicine | Our Lady of The Lake Physician Group LLC | 6516 E Myrtle Ave, Baker, LA 70714-4348 |
| Bradford J Smith | Internal Medicine | Our Lady of The Lake Physician Group LLC | 6516 E Myrtle Ave, Baker, LA 70714-4348 |
| Wenjie Xu | Cardiac Electrophysiology | Our Lady of The Lake Physician Group LLC | 6516 E Myrtle Ave, Baker, LA 70714-4348 |
| Find all physicians in zip 70714 | |||
| City | BAKER |
| Zip Code | 70714 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BAKER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dustin Logue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.