Dr Patrick M Long, MD | |
11800 E 12 Mile Rd, Warren, MI 48093-3472 | |
(586) 573-5000 | |
Not Available |
Full Name | Dr Patrick M Long |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 11800 E 12 Mile Rd, Warren, Michigan |
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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1437222908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 058697 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 4301089635 (Michigan) | Primary |
Entity Name | Beaumont Medical Group Hospital Based Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Mailing Address | Practice Location Address |
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Dr Patrick M Long, MD 54722 Salem Dr, Shelby Township, MI 48316-1375 Ph: (904) 742-6078 | Dr Patrick M Long, MD 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5000 |
Domian Kandah, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5059 | |
Dr. Samuel I Martisius, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13355 E 10 Mile Rd, Warren, MI 48089 Phone: 586-759-7690 | |
Dr. Jeffrey Lee Bargeon, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13355 E 10 Mile Rd, Warren, MI 48089 Phone: 586-759-7310 Fax: 586-759-3099 | |
Dr. Jeffrey Cheefai Siu, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13355 East Ten Mile Road, Warren, MI 48089 Phone: 586-759-7690 | |
Dr. Kristy Marie Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 28800 Ryan Rd, Suite 120, Warren, MI 48092 Phone: 586-558-2860 Fax: 586-558-4624 | |
Maureen L Dailey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Er Dept, 118000 E 12th Mile Road, Warren, MI 48093 Phone: 586-573-5028 | |
Margaret Konsza, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 Phone: 586-573-5028 |