Emma L Long, MD | |
1500 Provident Dr, Suite A, Warsaw, IN 46580-3291 | |
(574) 372-7637 | |
Not Available |
Full Name | Emma L Long |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1500 Provident Dr, Warsaw, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902883424 | NPI | - | NPPES |
5887 | Other | IN | PHYSICIANS HEALTH PLAN |
000000241419 | Other | IN | ANTHEM |
200141330 | Medicaid | IN | |
5061595 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01045980A (Indiana) | Primary |
Entity Name | Pic Indiana Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20130515000110 |
Mailing Address | Practice Location Address |
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Emma L Long, MD 1500 Provident Dr, Suite A, Warsaw, IN 46580-3291 Ph: () - | Emma L Long, MD 1500 Provident Dr, Suite A, Warsaw, IN 46580-3291 Ph: (574) 372-7637 |
Douglas E. Sawyer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Daniel Louis Loney, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Provident Dr, Warsaw, IN 46580 Phone: 574-372-5868 Fax: 574-372-5869 | |
Brian David Reichenbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Victoria M Watters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134 | |
Sung Jae Park, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Scott Harlan Ehmen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-372-7637 Fax: 574-372-7689 | |
David Shaffer Darr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 Provident Drive, Ste B, Warsaw, IN 46580 Phone: 574-268-4300 |