Wallace A Longton, MD | |
25 Sprint Dr, Carlisle, PA 17015 | |
(717) 960-3726 | |
(717) 960-3734 |
Full Name | Wallace A Longton |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 25 Sprint Dr, Carlisle, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437197183 | NPI | - | NPPES |
001774731 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD061183L (Pennsylvania) | Primary |
Entity Name | Pinnacle Health Regional Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013441690 PECOS PAC ID: 7416228358 Enrollment ID: O20170810001731 |
Mailing Address | Practice Location Address |
---|---|
Wallace A Longton, MD 409 S 2nd St Ste 2f, Harrisburg, PA 17104-1612 Ph: (717) 231-8937 | Wallace A Longton, MD 25 Sprint Dr, Carlisle, PA 17015 Ph: (717) 960-3726 |
Dr. Tong Ge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 361 Alexander Spring Rd, Carlisle, PA 17015 Phone: 717-960-3319 Fax: 717-960-3301 | |
Dr. Julia E Blum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 Sprint Dr, Carlisle, PA 17015 Phone: 717-960-3750 Fax: 717-960-3734 | |
Dr. Robert Franklin Hall Ii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 161 Candlelite Dr, Carlisle, PA 17013 Phone: 717-243-3621 Fax: 717-243-1607 | |
Dr. Jennifer Rosenberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 Sprint Dr, Carlisle, PA 17015 Phone: 717-960-3750 Fax: 717-960-3734 | |
Dr. David R. Royal, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 850 Walnut Bottom Rd, Carlisle, PA 17013 Phone: 814-643-6207 Fax: 814-643-6165 | |
Dr. Ronald H Malcom, MD Radiology Medicare: Medicare Enrolled Practice Location: 25 Sprint Dr, Carlisle, PA 17015 Phone: 717-960-3750 Fax: 717-960-3734 |