Jessica Logan, | |
2779 Volunteer Dr Ste 201, Galesburg, IL 61401-8618 | |
(309) 345-9400 | |
(309) 345-9401 |
Full Name | Jessica Logan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 2779 Volunteer Dr Ste 201, Galesburg, Illinois |
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 |
---|---|---|---|
1033562558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 10005502 (Oregon) | Secondary |
363L00000X | Nurse Practitioner | 209-014448 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Galesburg, IL | Hospital |
Mercy Medical Center | Roseburg, OR | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Bay Area Hospital | Coos bay, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Nisha Jackson Inc. | 6305147745 | 37 |
St Mary Medical Center | 8628038015 | 50 |
Entity Name | St Mary Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20060908000380 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Jessica Logan, 2779 Volunteer Dr Ste 201, Galesburg, IL 61401-8618 Ph: (309) 345-9400 | Jessica Logan, 2779 Volunteer Dr Ste 201, Galesburg, IL 61401-8618 Ph: (309) 345-9400 |
Melissa Hajostek, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405 | |
Sharon L Marguglio, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-5114 | |
Shannon L Egan, APRN,CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 | |
Mrs. Susie Marie Avery, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1887 Sunset Dr, Galesburg, IL 61401 Phone: 309-371-9300 | |
Miss Monica Lynn Interial, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1377 W Main St, Galesburg, IL 61401 Phone: 773-641-8904 | |
Bethany Mcgraw, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 |