Benjamin C Long, | |
3105 Mcclelland Blvd., Joplin, MO 64804 | |
(417) 347-5400 | |
(417) 347-0620 |
Full Name | Benjamin C Long |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 3105 Mcclelland Blvd., Joplin, Missouri |
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 |
---|---|---|---|
1982102885 | NPI | - | NPPES |
506033406 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2018002044 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Freeman Health System - Freeman West | Joplin, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Freeman-oak Hill Health System | 8325942253 | 308 |
Entity Name | Freeman-oak Hill Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891809679 PECOS PAC ID: 8325942253 Enrollment ID: O20040107000022 |
Entity Name | Freeman-oak Hill Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570 |
Mailing Address | Practice Location Address |
---|---|
Benjamin C Long, 3105 Mcclelland Blvd., Joplin, MO 64804 Ph: (417) 347-5400 | Benjamin C Long, 3105 Mcclelland Blvd., Joplin, MO 64804 Ph: (417) 347-5400 |
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906 | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703 | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652 | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866 | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471 | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086 | |
Jessica Calista Holly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1331 W 32nd St, Joplin, MO 64804 Phone: 417-347-6737 |