Dr Lance P Longo, MD | |
1220 Dewey Ave, Wauwatosa, WI 53213-2598 | |
(414) 773-4311 | |
(414) 454-6747 |
Full Name | Dr Lance P Longo |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 40 Years |
Location | 1220 Dewey Ave, Wauwatosa, Wisconsin |
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 |
---|---|---|---|
1356458806 | NPI | - | NPPES |
32273000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 74570 (Massachusetts) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 37822 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Dr Lance P Longo, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Lance P Longo, MD 1220 Dewey Ave, Wauwatosa, WI 53213-2598 Ph: (414) 773-4311 |
Bernadette Demuri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, Suite #305, Wauwatosa, WI 53226 Phone: 414-257-0233 Fax: 414-257-3588 | |
Dr. Upton Thomas, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6754 Fax: 414-454-6789 | |
Dr. Ashok R Bedi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6610 Fax: 414-454-6644 | |
Dr. Abdul Mateen Khazi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6574 | |
Michael Fuller Mcbride, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6610 Fax: 414-454-6644 | |
Dr. Karole Marie Kuslak, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6600 | |
Dr. Niketa Desai, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6777 |