Daniel Long, DO | |
1305 W American Dr, Neenah, WI 54956-1993 | |
(800) 201-1194 | |
(920) 725-7392 |
Full Name | Daniel Long |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 10 Years |
Location | 1305 W American Dr, Neenah, Wisconsin |
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 |
---|---|---|---|
1033523329 | NPI | - | NPPES |
100088599 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 5101020941 (Michigan) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 70781-21 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
Thedacare Medical Center-waupaca | Waupaca, WI | Hospital |
Berlin Memorial Hospital | Berlin, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Neuroscience Group Of Northeast Wisconsin Sc | 6204740186 | 51 |
Entity Name | The Neuroscience Group Of Northeast Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578516803 PECOS PAC ID: 6204740186 Enrollment ID: O20031114000506 |
Mailing Address | Practice Location Address |
---|---|
Daniel Long, DO 1305 W American Dr, Neenah, WI 54956-1993 Ph: (920) 725-9373 | Daniel Long, DO 1305 W American Dr, Neenah, WI 54956-1993 Ph: (800) 201-1194 |
Kelley Jane Parnell, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 800-201-1194 Fax: 920-720-7392 | |
Joseph J Jares Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 318 Park Dr, Neenah, WI 54956 Phone: 360-539-8487 Fax: 360-358-9944 | |
Mr. Stephen L Shopbell, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1136 Westowne Dr, Neenah, WI 54956 Phone: 920-456-2030 | |
Mr. Thomas Gerard Mattio, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Steven James Price, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mrs. Lisa Mary Kokontis, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd Street, West Pavilion 2nd Floor The Neuroscience Group Of Ne Wi, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 |