Logan Taylor, CRNA | |
4500 Memorial Drive, Memorial Hospital, Belleville, IL 62226 | |
(618) 233-7750 | |
Not Available |
Full Name | Logan Taylor |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 4500 Memorial Drive, Belleville, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972962561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209009995 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Southern Illinois Surgery Center Llc | 0648555433 | 17 |
Good Samaritan Regional Health Center | 1658272059 | 57 |
Memorial Hospital | 5294649372 | 18 |
St Marys Hospital Centralia Illinois | 6709788920 | 43 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20031113000382 |
Entity Name | Salem Township Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
Entity Name | Anesthesia Associates Of Belleville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932141561 PECOS PAC ID: 5890690812 Enrollment ID: O20031203000567 |
Entity Name | Good Samaritan Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Wabash General Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265 |
Entity Name | Sparta Community Hospital D/b/a Quality Healthcare Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20080529000078 |
Entity Name | Anesthesia Associates Of Southern Illinois Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152 |
Mailing Address | Practice Location Address |
---|---|
Logan Taylor, CRNA 311 Ken Dr, Saint Charles, MO 63301-0523 Ph: () - | Logan Taylor, CRNA 4500 Memorial Drive, Memorial Hospital, Belleville, IL 62226 Ph: (618) 233-7750 |
Allan Schwartz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-641-5810 | |
Alexis Jones, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5972 | |
Bridgette L Peek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Anesthesia Dept, Belleville, IL 62226 Phone: 618-257-2175 | |
Jennifer R Jobe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Drive, Belleville, IL 62223 Phone: 618-257-4076 | |
Linda Bennett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28 N 64th St, Belleville, IL 62223 Phone: 314-991-0985 Fax: 908-653-9305 | |
Mrs. Kristin Renee Maberry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-4076 | |
Leah D Corbitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Drive, Anesthesia Depart Memorial Hospital, Belleville, IL 62226 Phone: 618-257-5162 |