Thomas Brooks Logan, MD in Henderson, KY - Otolaryngology

Thomas Brooks Logan, MD is a Otolaryngology physician based in Henderson, Kentucky. Thomas Brooks Logan is licensed to practice in Kentucky (license number 14807) and his current practice location is 800 N Elm St, Henderson, Kentucky. He can be reached at his office (for appointments etc.) via phone at (812) 499-9948.

NPI number for Thomas Brooks Logan is 1508854431 and his current mailing address is 1020 Professional Boulevard, Evansville, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508854431.

Contact Information

	Thomas Brooks Logan, MD
	800 N Elm St, Henderson, KY 42420-2709
	(812) 499-9948
	Not Available

Physician's Profile

Full Name	Thomas Brooks Logan
Gender	Male
Speciality	Otolaryngology
Location	800 N Elm St, Henderson, Kentucky
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1508854431
Provider Enumeration Date: 10/13/2005
Last Update Date: 05/20/2020

Medical Identifiers

Medical identifiers for Thomas Brooks Logan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508854431	NPI	-	NPPES
000000181609	Other	IN	ANTHEM
110013	Other	IN	HEALTHLINK
100246610A	Medicaid	IN
064946	Other	IN	HEALTH ALLIANCE
000000181609	Other	KY	ANTHEM
64148075	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	01029120A (Indiana)	Secondary
207Y00000X	Otolaryngology	14807 (Kentucky)	Primary

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. Thomas Brooks Logan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Thomas Brooks Logan, MD 1020 Professional Boulevard, Evansville, IN 47714-8009 Ph: (812) 473-2060	Thomas Brooks Logan, MD 800 N Elm St, Henderson, KY 42420-2709 Ph: (812) 499-9948

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Thomas Brooks Logan, MD - Otolaryngology in Henderson, KY