Jackson Long, MD | |
8560 Cook St, Mt Pleasant, NC 28124-7686 | |
(704) 436-6521 | |
(704) 436-9505 |
Full Name | Jackson Long |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 8560 Cook St, Mt Pleasant, North Carolina |
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 |
---|---|---|---|
1487032827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 210563 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
River Falls Area Hospital | River falls, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578507513 PECOS PAC ID: 4587573613 Enrollment ID: O20031218000417 |
Mailing Address | Practice Location Address |
---|---|
Jackson Long, MD 270 Copperfield Blvd Ne Ste 202, Concord, NC 28025-2441 Ph: (704) 721-2060 | Jackson Long, MD 8560 Cook St, Mt Pleasant, NC 28124-7686 Ph: (704) 436-6521 |
Andrew Hnat, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8560 Cook St, Mt Pleasant, NC 28124 Phone: 704-436-6521 Fax: 704-436-9505 | |
Lolo Dobson, Family Medicine Medicare: Medicare Enrolled Practice Location: 8560 Cook St, Mt Pleasant, NC 28124 Phone: 704-436-6521 | |
Ethan Jeremy Ledbetter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8560 Cook St, Mt Pleasant, NC 28124 Phone: 704-436-6521 Fax: 704-436-9505 |