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 | 13 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 |
---|---|---|
Florida Hospital Zephyrhills | Zephyrhills, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Zephyrhills Anesthesiology Associates Llc | 8628145869 | 28 |
Entity Name | Zephyrhills Anesthesiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902064546 PECOS PAC ID: 8628145869 Enrollment ID: O20080930000292 |
Entity Name | Greater Florida Anesthesiologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
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: Medicare Enrolled 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: Medicare Enrolled 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 |