Betty Marie Long, FNP, BC | |
1625 Gratz Brown St, Moberly, MO 65270-1994 | |
(573) 603-1460 | |
(573) 603-1462 |
Full Name | Betty Marie Long |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1625 Gratz Brown St, Moberly, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821331984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2013028541 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2013028541 (Missouri) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
Mailing Address | Practice Location Address |
---|---|
Betty Marie Long, FNP, BC 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1000 | Betty Marie Long, FNP, BC 1625 Gratz Brown St, Moberly, MO 65270-1994 Ph: (573) 603-1460 |
Erma Johnmeyer-schutte, RN,C.S.,F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Union Ave, Moberly, MO 65270 Phone: 660-263-4770 Fax: 660-263-2228 | |
Kerri Elizabeth Woodson, AGAC, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 660-263-8400 Fax: 660-269-2943 | |
Brooke D Gipson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1319 E Highway 24, Moberly, MO 65270 Phone: 660-263-6643 Fax: 660-263-0333 | |
Diana Wemhoff, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Union Ave Ste D, Moberly, MO 65270 Phone: 660-263-4770 Fax: 660-263-2228 | |
Alicia C Shaw, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Morley St Ste A-c, Moberly, MO 65270 Phone: 660-263-1225 Fax: 660-263-1613 | |
Barbara Carrender, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Union Ave Ste 2500, Moberly, MO 65270 Phone: 660-372-1313 | |
Susan Y Rasmussen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Union Ave, Suite A, Moberly, MO 65270 Phone: 660-263-5556 |