| Logan Gillen, | |
|
44 Blaine Ave, Bedford, OH 44146-2709 | |
| (440) 735-3800 | |
| Not Available |
| Full Name | Logan Gillen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 44 Blaine Ave, Bedford, Ohio |
| 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 |
|---|---|---|---|
| 1508539438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0029331 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Ahuja Medical Center Inc | 5496935538 | 56 |
| Entity Name | Physicians Link Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172925 PECOS PAC ID: 8527969492 Enrollment ID: O20040405000838 |
| Entity Name | University Hospitals Ahuja Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609189604 PECOS PAC ID: 5496935538 Enrollment ID: O20120424000026 |
| Entity Name | Magis Emergency Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801287511 PECOS PAC ID: 2769700392 Enrollment ID: O20150410002555 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Gillen, 7367 Brook Ln, Chesterland, OH 44026-1207 Ph: (419) 913-7248 | Logan Gillen, 44 Blaine Ave, Bedford, OH 44146-2709 Ph: (440) 735-3800 |
Kathryn Lynn Boyko, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Center Rd Ste 250a, Bedford, OH 44146 Phone: 440-735-2804 | |
Alexander Asaturyan, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Center Rd Ste 130, Bedford, OH 44146 Phone: 440-232-4455 | |
Mrs. Penny Rene O'brien-black, CNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19999 Rockside Rd, Bedford, OH 44146 Phone: 216-524-7377 | |
Mrs. Joanne Hartmann Villegas, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25181 Columbus Rd, Bedford, OH 44146 Phone: 216-924-6867 | |
Jacqui Hayes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Blaine Ave, Bedford, OH 44146 Phone: 440-735-3701 | |
Christina M. Rebic, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Blaine Ave, Bedford, OH 44146 Phone: 440-735-3900 | |
Mary Therese Bargmann, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Center Rd, Bedford, OH 44146 Phone: 440-232-4455 |