Samuel E Long, MD | |
290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 | |
(814) 247-3100 | |
Not Available |
Full Name | Samuel E Long |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 290 Haida Ave, Hastings, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134198377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | MD040634L (Pennsylvania) | Primary |
Entity Name | Tyrone Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659472447 PECOS PAC ID: 4183619885 Enrollment ID: O20040420000610 |
Mailing Address | Practice Location Address |
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Samuel E Long, MD 551 Main St, 3rd Floor Attn Nicolle, Johnstown, PA 15901 Ph: (814) 539-5724 | Samuel E Long, MD 290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 Ph: (814) 247-3100 |
Mr. Philip Siva Vittozzi Wong, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 Haida Ave, Hastings, PA 16646 Phone: 814-247-3100 | |
David G Hershberger, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 Phone: 814-247-3100 |