Charlotte Long, NP-C | |
3200 W Euless Blvd, Euless, TX 76040-6253 | |
(817) 702-1100 | |
(817) 702-6493 |
Full Name | Charlotte Long |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3200 W Euless Blvd, Euless, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144688656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP130153 (Texas) | Primary |
Entity Name | Acclaim Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
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Charlotte Long, NP-C 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 Ph: (254) 553-9048 | Charlotte Long, NP-C 3200 W Euless Blvd, Euless, TX 76040-6253 Ph: (817) 702-1100 |
Mereena Naveen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Park Crest Ave, Euless, TX 76039 Phone: 214-708-1300 | |
Priscilla Campos, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 N Main St, Euless, TX 76039 Phone: 817-358-5800 | |
Sadie Ann Ek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1508 Timber Ridge Dr, Euless, TX 76039 Phone: 817-455-7233 | |
Mrs. Alice W Koinange, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Westpark Way Ste 223, Euless, TX 76040 Phone: 410-805-5825 | |
Julie S Miles, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 251 Westpark Way Ste 210, Euless, TX 76040 Phone: 682-236-3656 Fax: 855-813-9308 | |
Patricia Evelyn Geymer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1704 Kynette Dr Apt B, Euless, TX 76040 Phone: 512-767-2310 |