Jeanine Michelle Long, is a
Substance Abuse Rehabilitation Facility based in Burlingame, California. Jeanine Michelle Long is licensed to practice in * (Not Available) (license number ) and her current practice location is
1450 Chapin Ave, Burlingame, California. She can be reached at her office (for appointments etc.) via phone at
(650) 348-6603.
NPI number for Jeanine Michelle Long is 1275811408 and her current mailing address is 1450 Chapin Ave, Burlingame, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275811408.
Healthcare Provider's Profile
Full Name | Jeanine Michelle Long |
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Gender | Female |
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Speciality | Substance Abuse Rehabilitation Facility |
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Location | 1450 Chapin Ave, Burlingame, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275811408
- Provider Enumeration Date: 07/21/2011
- Last Update Date: 07/21/2011
Medical Identifiers
Medical identifiers for Jeanine Michelle Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275811408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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. Jeanine Michelle Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeanine Michelle Long, 1450 Chapin Ave, Burlingame, CA 94010-4062 Ph: () - | Jeanine Michelle Long, 1450 Chapin Ave, Burlingame, CA 94010-4062 Ph: (650) 348-6603 |
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