Mary Elizabeth Logan, | |
315 Hospital Dr, Madison, TN 37115-5030 | |
(615) 868-6503 | |
Not Available |
Full Name | Mary Elizabeth Logan |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 315 Hospital Dr, Madison, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447914643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 35545 (Tennessee) | Primary |
163W00000X | Registered Nurse | 0000216346 (Tennessee) | Secondary |
Entity Name | Anesthesia Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
Mailing Address | Practice Location Address |
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Mary Elizabeth Logan, 572 Stevenson St, Nashville, TN 37209-1875 Ph: (901) 486-6011 | Mary Elizabeth Logan, 315 Hospital Dr, Madison, TN 37115-5030 Ph: (615) 868-6503 |
Steven L. Beaty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1994 Gallatin Pike N, Suite 202, Madison, TN 37115 Phone: 615-851-0001 Fax: 615-851-0021 | |
Henry Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
William Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Troy Sasser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Thomas Coghlan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Alexander W Donesky, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503 | |
Laura Elizabeth Andrews, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 |