| Logan Dege Pearl, DNP | |
|
185 Sherman Dr, St Johnsbury, VT 05819-9811 | |
| (802) 748-5041 | |
| Not Available |
| Full Name | Logan Dege Pearl |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 185 Sherman Dr, St Johnsbury, Vermont |
| 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 |
|---|---|---|---|
| 1447735436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 101.0134212 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caledonia Home Health Care | Saint johnsbury, VT | Home health agency |
| Northeastern Vermont Regional Hospital | Saint johnsbury, VT | Hospital |
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Vermont Regional Hospital Inc | 3678481405 | 108 |
| Entity Name | Northern Counties Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649236225 PECOS PAC ID: 2860300936 Enrollment ID: O20041203000125 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659459428 PECOS PAC ID: 3678481405 Enrollment ID: O20080208000261 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174566541 PECOS PAC ID: 3678481405 Enrollment ID: O20090511000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Dege Pearl, DNP 165 Sherman Dr, St Johnsbury, VT 05819-9811 Ph: (802) 748-9405 | Logan Dege Pearl, DNP 185 Sherman Dr, St Johnsbury, VT 05819-9811 Ph: (802) 748-5041 |
Melanie Clarke, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2225 Portland St, St Johnsbury, VT 05819 Phone: 802-748-3181 | |
Jane Helena Micciche, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 97 Sherman Dr, Suite 1, St Johnsbury, VT 05819 Phone: 802-748-5131 Fax: 802-748-4237 | |
Joyce A Vitale, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819 Phone: 802-748-7500 Fax: 802-745-1188 | |
Elaine L Robinson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Sherman Drive, Suite 2, St Johnsbury, VT 05819 Phone: 802-748-5174 Fax: 802-748-4878 | |
Geraldine Marie Tookey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2225 Portland St, St Johnsbury, VT 05819 Phone: 802-334-6744 | |
Carey J Brodzinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 Phone: 802-748-5041 Fax: 802-748-5094 | |
Allison Marie Ebrahimi Gold, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 185 Sherman Dr, St Johnsbury, VT 05819 Phone: 802-748-5041 |