| Karen J Logullo, CRNA | |
|
701 N Clayton St, 3rd Floor, Wilmington, DE 19805-3518 | |
| (302) 421-4330 | |
| (302) 421-4331 |
| Full Name | Karen J Logullo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 701 N Clayton St, Wilmington, Delaware |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932473485 | NPI | - | NPPES |
| 088734 | Other | DE | AANA NUMBER |
| 26NR15462900 | Other | NJ | RN LICENSE |
| L1-0033257 | Other | DE | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | L6-0A00631 (Delaware) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00366200 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nanticoke Memorial Hospital | Seaford, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Company Llc | 4587559026 | 308 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Pinellas County Anesthesia Associates, Llc | 3779971734 | 52 |
| Entity Name | Northstar Anesthesia Of Delaware Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316544976 PECOS PAC ID: 8022428416 Enrollment ID: O20201116000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen J Logullo, CRNA Po Box 650782, Dallas, TX 75265-0782 Ph: (302) 733-0806 | Karen J Logullo, CRNA 701 N Clayton St, 3rd Floor, Wilmington, DE 19805-3518 Ph: (302) 421-4330 |
Christine Moses, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2006 Limestone Rd, Suite 5, Wilmington, DE 19808 Phone: 302-995-1860 Fax: 302-995-5421 | |
Ms. Melinda S. Brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 | |
Ms. Carolyn R Sweeney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 | |
William G Devece, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N. Clayton St., 4th Floor, Wilmington, DE 19805 Phone: 302-421-4330 Fax: 302-421-4331 | |
Martha Dawn Turner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Kirkwood Hwy, Wilmington, DE 19805 Phone: 302-994-2511 | |
Leslie K Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 | |
Nicholas Stuardi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2006 Limestone Rd, Suite 5, Wilmington, DE 19808 Phone: 302-995-1860 Fax: 302-995-5421 |