Matthew M Long, RD is a
Dietitian, Registered based in Tinker Afb, Oklahoma. Matthew M Long is licensed to practice in Oklahoma (license number 2548) and his current practice location is
7050 Air Depot Blvd Bldg 1094, Tinker Afb, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 736-2169.
NPI number for Matthew M Long is 1194390021 and his current mailing address is 2301 Nw 27th St, Oklahoma City, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194390021.
Healthcare Provider's Profile
Full Name | Matthew M Long |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194390021
- Provider Enumeration Date: 05/24/2021
- Last Update Date: 10/08/2024
Medical Identifiers
Medical identifiers for Matthew M Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194390021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2548 (Oklahoma) | 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. Matthew M 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 |
Matthew M Long, RD 2301 Nw 27th St, Oklahoma City, OK 73107-2517 Ph: (918) 845-7968 | Matthew M Long, RD 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 Ph: (405) 736-2169 |
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