Isaac Long, | |
6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | |
(214) 687-0001 | |
(972) 518-2100 |
Full Name | Isaac Long |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6225 N State Highway 161 Ste 200, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295432318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041445485 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 041445485 (Illinois) | Primary |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
Mailing Address | Practice Location Address |
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Isaac Long, 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Isaac Long, 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 |
Phillip Howard Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Dr. Robert Louis Delillo, DNP, CRNA, NSPM-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 220 O Connor Ridge Blvd Ste 105, Irving, TX 75038 Phone: 214-560-2000 Fax: 214-560-2555 | |
Deborah R. Grieder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Carolyn Bea Watts, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Sara Morgan Benson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Brian Boone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Judith A Davenport, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 |