Dr John D Long Jr, MD | |
14139 Potomac Mills Rd, Kaiser Permanente Woodbridge Medical Center, Woodbridge, VA 22192-4644 | |
(703) 490-8400 | |
(703) 490-7635 |
Full Name | Dr John D Long Jr |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 14139 Potomac Mills Rd, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043388499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 0101043730 (Virginia) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
Mailing Address | Practice Location Address |
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Dr John D Long Jr, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424 | Dr John D Long Jr, MD 14139 Potomac Mills Rd, Kaiser Permanente Woodbridge Medical Center, Woodbridge, VA 22192-4644 Ph: (703) 490-8400 |
Dr. Grigor Khachikian, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1950 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-551-4656 Fax: 703-497-4167 | |
Dr. Brad B Swelstad, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 13580 Groupe Dr Ste 105, Woodbridge, VA 22192 Phone: 703-680-1770 Fax: 855-402-1839 | |
Dr. Zohreh Nikkhah Abyaneh, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2026 Opitz Blvd Ste A, Woodbridge, VA 22191 Phone: 571-992-8005 Fax: 703-494-3958 | |
Michael Q Smith, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953 | |
Jennifer Y Hsu, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 13580 Groupe Dr Ste 105, Woodbridge, VA 22192 Phone: 703-680-1770 Fax: 855-402-1839 | |
Dr. Beverly Waddell-jiggetts, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Road, Woodbridge, VA 22192 Phone: 703-490-8400 Fax: 703-490-7701 |