Dr Jeffrey P Long, MD | |
8166 Main St, Ste 101, Houma, LA 70360-3404 | |
(985) 876-9045 | |
Not Available |
Full Name | Dr Jeffrey P Long |
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Gender | Male |
Speciality | Radiology - Therapeutic Radiology |
Location | 8166 Main St, Houma, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629177936 | NPI | - | NPPES |
1450243 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD00038248 (Washington) | Secondary |
2085R0203X | Radiology - Therapeutic Radiology | 202753 (Louisiana) | Primary |
Entity Name | Mary Bird Perkins Cancer Center |
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Entity Type | Part B Supplier - Radiation Therapy Center |
Entity Identifiers | NPI Number: 1295833580 PECOS PAC ID: 4385646280 Enrollment ID: O20070206000329 |
Entity Name | St Elizabeth Mary Bird Perkins Cancer Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619155124 PECOS PAC ID: 8628222551 Enrollment ID: O20130611000874 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey P Long, MD 4950 Essen Ln, Baton Rouge, LA 70809-3738 Ph: (225) 215-1311 | Dr Jeffrey P Long, MD 8166 Main St, Ste 101, Houma, LA 70360-3404 Ph: (985) 876-9045 |
Dr. Edwin W Price Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8166 Main Street, Radiology Department, Houma, LA 70360 Phone: 985-873-4141 | |
Dr. Robert James Quinilty, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8166 Main Street, Radiology Department, Houma, LA 70360 Phone: 985-873-4141 | |
Jessica Ann Borne, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1990 Industrial Blvd, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 | |
Dr. Ashley Joseph Prejean, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 705 Dunn St, Houma, LA 70360 Phone: 985-876-2727 Fax: 985-851-7434 | |
Bryan Christopher Rau, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 705 Dunn St, Houma, LA 70360 Phone: 985-876-2727 | |
Claude Simon, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1990 Industrial Boulevard, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 | |
Julio Mendez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1990 Industrial Boulevard, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 |