| Jamie R Logan, CRNA | |
|
5721 W 119th St, Overland Park, KS 66209-3722 | |
| (816) 763-5446 | |
| Not Available |
| Full Name | Jamie R Logan |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5721 W 119th St, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144206889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 114685 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 54530 (Kansas) | Primary |
| Entity Name | Anesthesia Associates Of Kansas City Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20031201000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie R Logan, CRNA 10301 Hickman Mills Dr, 100, Kansas City, MO 64137-1674 Ph: (816) 763-5446 | Jamie R Logan, CRNA 5721 W 119th St, Overland Park, KS 66209-3722 Ph: (816) 763-5446 |
Gay Ann Colliton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034 | |
Sonya Jurgens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 Fax: 913-428-2951 | |
Marilyn Bruner-howell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8800 Ballentine, Overland Park, KS 66214 Phone: 913-894-0384 | |
Carol Lynn Russell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5520 College Blvd, Suite 200, Overland Park, KS 66211 Phone: 913-491-3040 | |
Reed Tenney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 | |
Mrs. Valerie Lynn Wilen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10500 Quivira Rd, Overland Park, KS 66215 Phone: 816-763-5446 | |
Alexis Zecy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10203 Bond St, Overland Park, KS 66214 Phone: 913-522-1114 |