Dr James Robert Long Ii, DO | |
20 Hospital Dr, Logan, WV 25601-3452 | |
(304) 831-1101 | |
Not Available |
Full Name | Dr James Robert Long Ii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 20 Hospital Dr, Logan, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740223346 | NPI | - | NPPES |
1000331001 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1852 (West Virginia) | Primary |
Entity Name | Health Care Alliance, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730128760 PECOS PAC ID: 5799689105 Enrollment ID: O20050816000292 |
Entity Name | Boone Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
Entity Name | Boone Memorial Hospital Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1639135221 PECOS PAC ID: 3375433352 Enrollment ID: O20061104000273 |
Mailing Address | Practice Location Address |
---|---|
Dr James Robert Long Ii, DO 11 Sawmill Rd, Chapmanville, WV 25508-9584 Ph: () - | Dr James Robert Long Ii, DO 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1101 |
Dr. Billie J. Hall, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Logan Regional Medical Center Emer Dept, 20 Hospital Drive, Logan, WV 25601 Phone: 304-831-1188 Fax: 304-831-1189 | |
Beena Nagpal, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Logan General Hospital, Logan, WV 25601 Phone: 304-792-1230 | |
Dr. Jose Y Auditor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101 | |
Dr. Stephen D Ulaki, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101 | |
Dr. Larry Lucas, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101 | |
Dr. Alberto A Fernandez, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101 |