Logan Taylor, CRNA | |
1200 E Tremont St, Hillsboro, IL 62049-1912 | |
(217) 532-4293 | |
(447) 448-2972 |
Full Name | Logan Taylor |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 1200 E Tremont St, Hillsboro, Illinois |
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 |
---|---|---|---|
1972962561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209.013798 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209009995 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Hillsboro Area Hospital | Hillsboro, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Southern Illinois Surgery Center Llc | 0648555433 | 16 |
Good Samaritan Regional Health Center | 1658272059 | 62 |
G And G Anesthesia Llc | 4981912607 | 70 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20031113000382 |
Entity Name | Salem Township Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
Entity Name | Anesthesia Associates Of Belleville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932141561 PECOS PAC ID: 5890690812 Enrollment ID: O20031203000567 |
Entity Name | Good Samaritan Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Hillsboro Area Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821078213 PECOS PAC ID: 4486547148 Enrollment ID: O20040205000911 |
Entity Name | Wabash General Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265 |
Entity Name | Sparta Community Hospital D/b/a Quality Healthcare Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20080529000078 |
Entity Name | G & G Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20150930000831 |
Entity Name | Anesthesia Associates Of Southern Illinois Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152 |
Mailing Address | Practice Location Address |
---|---|
Logan Taylor, CRNA 311 Ken Dr, Saint Charles, MO 63301-0523 Ph: () - | Logan Taylor, CRNA 1200 E Tremont St, Hillsboro, IL 62049-1912 Ph: (217) 532-4293 |
Bart Allison Wetzel, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 Tremont, Hillsboro, IL 62049 Phone: 217-532-6111 |