| Merida Caleb Logan, CRNA | |
|
701 W Plymouth Ave, Deland, FL 32720-3236 | |
| (407) 667-0444 | |
| (407) 667-4338 |
| Full Name | Merida Caleb Logan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 701 W Plymouth Ave, Deland, Florida |
| 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 |
|---|---|---|---|
| 1417271586 | NPI | - | NPPES |
| PENDING | Medicaid | FL | |
| PENDING | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9264290 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 934 |
| Jax Anesthesia Providers Llc | 5698783702 | 31 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Jax Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245271154 PECOS PAC ID: 5698783702 Enrollment ID: O20060331000288 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Fpra Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952756728 PECOS PAC ID: 0547554099 Enrollment ID: O20160808000431 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Merida Caleb Logan, CRNA 291 Southhall Ln, Suite 201, Maitland, FL 32751-7274 Ph: (407) 667-0444 | Merida Caleb Logan, CRNA 701 W Plymouth Ave, Deland, FL 32720-3236 Ph: (407) 667-0444 |
Robert Edward Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Maria Milagros Sostre-beltran, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Harlie Elizabeth Visser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 386-943-4892 | |
Felicia Cottrell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Gerald Salvatico, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Forest Ln, Deland, FL 32724 Phone: 386-736-1574 Fax: 386-943-4734 | |
Robert Fechtenburg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 |