Dr John Jacob Long, DO | |
2 Progress Point Pkwy, Dept Anesthesiology, O Fallon, MO 63368-2205 | |
(800) 862-9980 | |
(314) 362-1185 |
Full Name | Dr John Jacob Long |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 31 Years |
Location | 2 Progress Point Pkwy, O Fallon, Missouri |
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 |
---|---|---|---|
1063442648 | NPI | - | NPPES |
209326909 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2004020474 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Carolina East Medical Center | New bern, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missouri Baptist Medical Center | 3476461955 | 60 |
Southeast Anesthesiology Consultants Pllc | 7719959873 | 82 |
Entity Name | Metro-west Anesthesia Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031219000779 |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20040129000651 |
Entity Name | Ballas Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306894241 PECOS PAC ID: 5092615310 Enrollment ID: O20040415001276 |
Entity Name | Missouri Baptist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609658905 PECOS PAC ID: 3476461955 Enrollment ID: O20240111001744 |
Mailing Address | Practice Location Address |
---|---|
Dr John Jacob Long, DO Po Box 60352, Saint Louis, MO 63160-0352 Ph: (800) 862-9980 | Dr John Jacob Long, DO 2 Progress Point Pkwy, Dept Anesthesiology, O Fallon, MO 63368-2205 Ph: (800) 862-9980 |
Dr. Chakrapol Lattanand, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 Progress Point Pkwy, Dept Anesthesiology, O Fallon, MO 63368 Phone: 800-862-9980 Fax: 314-362-1185 | |
Dr. Sunita Dharmavarapu, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2 Progress Point Ct, O Fallon, MO 63368 Phone: 314-286-1050 Fax: 314-344-1138 | |
Dr. David A Friedman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 Progress Point Ct, O Fallon, MO 63368 Phone: 636-344-1170 Fax: 636-344-1138 | |
Vivek K Manchanda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4122 Keaton Crossing Blvd, Suite 102, O Fallon, MO 63368 Phone: 636-329-9077 Fax: 636-329-9076 | |
Dr. Jessica Lauren Sanford, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 Progress Point Pkwy, Dept Anesthesiology, O Fallon, MO 63368 Phone: 800-862-9980 Fax: 314-362-1185 | |
Dr. Victor Xia Qi, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2 Progress Point Pkwy, Dept Anesthesiology, O Fallon, MO 63368 Phone: 800-862-9980 Fax: 314-362-1185 |