Nathan Wayne Long, MD | |
353 Fairmont Blvd, Rapid City, SD 57701-7375 | |
(605) 755-8222 | |
(605) 719-4203 |
Full Name | Nathan Wayne Long |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 353 Fairmont Blvd, Rapid City, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497794515 | NPI | - | NPPES |
1497794515 | Medicaid | SD | |
1497794515 | Medicaid | CO | |
1465366 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 7071 (South Dakota) | Primary |
Entity Name | Monument Health Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
Entity Name | Rapid City Emergency Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621045 PECOS PAC ID: 7315934171 Enrollment ID: O20040426001322 |
Mailing Address | Practice Location Address |
---|---|
Nathan Wayne Long, MD Po Box 912882, Denver, CO 80291-2882 Ph: (866) 765-0909 | Nathan Wayne Long, MD 353 Fairmont Blvd, Rapid City, SD 57701-7375 Ph: (605) 755-8222 |
Dr. Jeffrey Anderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5410 Sheridan Lake Rd, Rapid City, SD 57702 Phone: 605-348-4141 Fax: 605-342-7880 | |
Dr. Michael Paul Frost, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-8222 Fax: 605-755-4203 | |
Lauren Buyan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-8222 | |
Daniel P Hofmann, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57709 Phone: 605-719-1000 | |
Steven M Ross, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-8222 Fax: 605-348-1578 | |
Kelly W Manning, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-8222 Fax: 605-719-4203 | |
Anne Fisher, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-8222 Fax: 605-719-4203 |