Kathleen Long, MD | |
5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 | |
(574) 335-5000 | |
Not Available |
Full Name | Kathleen Long |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 5215 Holy Cross Pkwy, Mishawaka, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154387132 | NPI | - | NPPES |
100318630 | Medicaid | IN | |
930101013 | Other | IN | RAIL ROAD MEDICARE |
000000181684 | Other | IN | ANTHEM |
104340083 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01028072A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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Kathleen Long, MD 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 | Kathleen Long, MD 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 |
Dr. Christy Lynn Annis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Dr. Eugene Huang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Day Rd, Mishawaka, IN 46545 Phone: 574-204-7243 Fax: 574-226-0795 | |
Jonathan Neil Shenk, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Kurtis Dejong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Mark Lawrence Kricheff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Karla Goulart Newbold, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 |