Daniel Long, | |
1373 E State Road 62, Madison, IN 47250-7328 | |
(317) 783-7474 | |
(317) 783-2283 |
Full Name | Daniel Long |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 1373 E State Road 62, Madison, Indiana |
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 |
---|---|---|---|
1548680812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71004907A (Indiana) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | 71004907A (Indiana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clarksville Emergency Group, Pc | 6507277423 | 129 |
Entity Name | Harrison County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790892727 PECOS PAC ID: 9032007208 Enrollment ID: O20040406000076 |
Entity Name | Norton - Kings Daughters Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
Entity Name | App Of Indiana Ed, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639 |
Entity Name | Clarksville Emergency Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
Mailing Address | Practice Location Address |
---|---|
Daniel Long, 34 Agin Way, Milton, KY 40045-1509 Ph: (859) 979-2459 | Daniel Long, 1373 E State Road 62, Madison, IN 47250-7328 Ph: (317) 783-7474 |
Sara Nicole Thorpe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0800 | |
Sandra Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Clifty Dr Ste J, Madison, IN 47250 Phone: 812-274-0713 | |
Mary Victoria Conners, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 Broadway St, Madison, IN 47250 Phone: 812-801-0338 Fax: 812-801-0777 | |
Mandy Corinne Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62 # Level3, Madison, IN 47250 Phone: 812-801-0868 Fax: 812-801-8070 | |
Jamie Leigh Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0229 Fax: 812-801-8705 | |
Alicia D Mincher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0800 | |
Branden A Bledsoe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 E Clifty Dr, Madison, IN 47250 Phone: 502-895-7761 |