Douglas M Long, MD | |
N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031 | |
(262) 547-3352 | |
Not Available |
Full Name | Douglas M Long |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 31 Years |
Location | N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, 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 |
---|---|---|---|
1255368528 | NPI | - | NPPES |
P00449642 | Other | WI | RR MEDICARE |
32443200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 39703 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Eye Associates Sc | 0941195036 | 8 |
Entity Name | Medical Eye Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023066636 PECOS PAC ID: 0941195036 Enrollment ID: O20040218000184 |
Entity Name | Aurora Health Care Central, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053107 PECOS PAC ID: 4688583677 Enrollment ID: O20040308000588 |
Mailing Address | Practice Location Address |
---|---|
Douglas M Long, MD N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031 Ph: (262) 547-3352 | Douglas M Long, MD N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031 Ph: (262) 547-3352 |
Gregory R Lochen, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 312, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142 | |
Katherine Dalzotto, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188 Phone: 262-547-3352 | |
R. R. Flickinger Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 312, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142 | |
Deborah W Bernstein, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142 | |
Josephine-liezl P Cueto, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000 | |
Bruce Brown, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St Ste 10, Waukesha, WI 53188 Phone: 262-547-7002 Fax: 262-547-1815 |