Dr Kenneth W Long, MD | |
1395 El Rito Dr, Gulf Breeze, FL 32563-6707 | |
(850) 932-9251 | |
(850) 932-9199 |
Full Name | Dr Kenneth W Long |
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Gender | Male |
Speciality | Family Medicine |
Location | 1395 El Rito Dr, Gulf Breeze, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114971991 | NPI | - | NPPES |
259005100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME77376 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth W Long, MD Po Box 2699, Pensacola, FL 32513-2699 Ph: () - | Dr Kenneth W Long, MD 1395 El Rito Dr, Gulf Breeze, FL 32563-6707 Ph: (850) 932-9251 |
Dr. Michael J Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 362 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 301-728-6527 Fax: 207-843-0874 | |
Sanford M Epstein, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Bay Bridge Dr, Gulf Breeze, FL 32561 Phone: 850-934-3920 Fax: 850-934-3922 | |
Dr. Janice M Hudson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6031 Blair Cir, Gulf Breeze, FL 32563 Phone: 850-934-9856 Fax: 888-224-9066 | |
Dr. Keiran Brian Shute, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Gulf Breeze Pkwy Ste B, Gulf Breeze, FL 32561 Phone: 850-916-3680 Fax: 850-916-3689 | |
Dr. Joshua Gilman Hackel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561 Phone: 850-916-3700 Fax: 850-916-3710 | |
Dr. Michael Wray, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2569 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-934-0932 Fax: 850-934-0737 |