Logan J Kopf, CRNA | |
300 Pershing Ave, Shenandoah, IA 51601-2355 | |
(712) 246-7106 | |
(712) 246-7357 |
Full Name | Logan J Kopf |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 300 Pershing Ave, Shenandoah, Iowa |
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 |
---|---|---|---|
1447609300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D144014 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera St Anthony's Hospital | O' neill, NE | Hospital |
Avera Creighton Hospital | Creighton, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera St Anthonys Hospital | 4486548203 | 21 |
Entity Name | Avera St Anthonys Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043223654 PECOS PAC ID: 4486548203 Enrollment ID: O20040212000065 |
Entity Name | Niobrara Valley Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063470953 PECOS PAC ID: 8921047754 Enrollment ID: O20050429000906 |
Entity Name | Community Medical Center, Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1881643484 PECOS PAC ID: 6608776943 Enrollment ID: O20061222000136 |
Entity Name | Niobrara Valley Hospital Corporation |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1063470953 PECOS PAC ID: 8921047754 Enrollment ID: O20071127000511 |
Entity Name | Avera St Anthonys Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1891738936 PECOS PAC ID: 4486548203 Enrollment ID: O20071128000149 |
Mailing Address | Practice Location Address |
---|---|
Logan J Kopf, CRNA 300 Pershing Ave, Shenandoah, IA 51601-2355 Ph: (712) 246-7106 | Logan J Kopf, CRNA 300 Pershing Ave, Shenandoah, IA 51601-2355 Ph: (712) 246-7106 |
Gary Mcintyre, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 Pershing Ave, Shenandoah, IA 51601 Phone: 712-246-1230 Fax: 712-246-7357 | |
Kristel Hodges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pershing Ave, Shenandoah, IA 51601 Phone: 712-246-1230 Fax: 712-246-7264 |