Dr Paul R Long, MD | |
1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | |
(570) 820-6113 | |
(570) 808-6349 |
Full Name | Dr Paul R Long |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 48 Years |
Location | 1155 E Mountain Blvd, Wilkes Barre, Pennsylvania |
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 |
---|---|---|---|
1649231457 | NPI | - | NPPES |
000737850 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD019504E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger-community Medical Center | Scranton, PA | Hospital |
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Geisinger Medical Center | Danville, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul R Long, MD 100 N Academy Ave, Danville, PA 17822-3034 Ph: (570) 271-6144 | Dr Paul R Long, MD 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 Ph: (570) 820-6113 |
Sarah Nicole Telliard, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-6113 Fax: 570-808-6349 | |
Mehul Bhatt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-6113 Fax: 570-808-6349 | |
Dr. Nil Celebi Cherukuri, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-6113 Fax: 570-808-6349 |