Kathleen P Logan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bangor, ME

Kathleen P Logan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bangor, Maine. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice St Joseph Hospital and her current practice location is 360 Broadway, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 907-1430.

Kathleen P Logan is licensed to practice in Maine (license number RNA163052) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548534175.

Contact Information

Kathleen P Logan, CRNA
360 Broadway,
Bangor, ME 04401
(207) 907-1430
(207) 907-3508



Provider's Profile

Full NameKathleen P Logan
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location360 Broadway, Bangor, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen P Logan graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1548534175
  • Provider Enumeration Date: 02/29/2012
  • Last Update Date: 02/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830350388
  • Enrollment ID: I20170327000100

Medical Identifiers

Medical identifiers for Kathleen P Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548534175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 26NJ00367900 (New Jersey)Secondary
367500000XNurse Anesthetist, Certified Registered RNA163052 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalBangor, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Joseph Hospital6406766336155

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen P Logan allows following entities to bill medicare on her behalf.
Entity NameEastern Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790789147
PECOS PAC ID: 2062315161
Enrollment ID: O20040128000088

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Entity NameSt Joseph Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154321545
PECOS PAC ID: 6406766336
Enrollment ID: O20040604000895

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen P Logan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen P Logan, CRNA
C/o St Marys Health System - Provider Enrollment, Po Box 7291,
Lewiston, ME 04243-7291

Ph: (207) 777-8560
Kathleen P Logan, CRNA
360 Broadway,
Bangor, ME 04401

Ph: (207) 907-1430

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Nurse Anesthetist, Certified Registered Nurses in Bangor, ME

Jaime Lee Naughton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Susan Lind, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Mrs. Elizabeth R Marshall, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Jesse Knowlton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 360 Broadway, Bangor, ME 04401
Phone: 207-907-1430    Fax: 207-907-3508
Mr. Timothy F Gale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Patricia L. Kennedy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-973-4519
Daniel S Groves, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132

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