Dr Kellie Ann Longdon, MD | |
2402 University Pkwy, Suite 106, Bldg. 1, Sarasota, FL 34243 | |
(941) 355-4411 | |
(941) 355-5511 |
Full Name | Dr Kellie Ann Longdon |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 2402 University Pkwy, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740228683 | NPI | - | NPPES |
347292001 | Medicaid | TX | |
276635300 | Medicaid | FL | |
8EA296 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME97009 (Florida) | Secondary |
207P00000X | Emergency Medicine | P3920 (Texas) | Primary |
Entity Name | Concord North Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20160429000472 |
Mailing Address | Practice Location Address |
---|---|
Dr Kellie Ann Longdon, MD 2402 University Pkwy, Suite 106, Bldg. 1, Sarasota, FL 34243 Ph: (941) 355-4411 | Dr Kellie Ann Longdon, MD 2402 University Pkwy, Suite 106, Bldg. 1, Sarasota, FL 34243 Ph: (941) 355-4411 |
Tammy Marie Berry, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-8507 | |
Debra Hope Federer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5731 Bee Ridge Road, Sarasota, FL 34233 Phone: 941-342-1100 | |
Dr. Thomas S Trinchetto, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5731 Bee Ridge Rd, Sarasota, FL 34233 Phone: 941-342-1100 | |
Sarah Temple, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-8507 | |
Tearikirangi Elijah Benioni, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-8507 | |
Philip Dolin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2830 Bee Ridge Rd, Sarasota, FL 34239 Phone: 941-927-1234 Fax: 941-921-0043 | |
Cynthia Marie Buchman Webb, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5731 Bee Ridge Rd, Sarasota, FL 34233 Phone: 941-342-1100 |