Jessica Beth Long, AGNP-C | |
420 E State St Ste 135, Eagle, ID 83616-4898 | |
(208) 402-9956 | |
Not Available |
Full Name | Jessica Beth Long |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 420 E State St Ste 135, Eagle, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194244707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 56895 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Primary Care Adult And Geriatric Medicine Plllp | 3072969112 | 2 |
Entity Name | Mmg Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407469166 PECOS PAC ID: 5991039489 Enrollment ID: O20201013002125 |
Entity Name | Riverside Primary Care Adult And Geriatric Medicine Plllp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003693961 PECOS PAC ID: 3072969112 Enrollment ID: O20231026001427 |
Mailing Address | Practice Location Address |
---|---|
Jessica Beth Long, AGNP-C 420 E State St Ste 135, Eagle, ID 83616-4898 Ph: (208) 402-9956 | Jessica Beth Long, AGNP-C 420 E State St Ste 135, Eagle, ID 83616-4898 Ph: (208) 402-9956 |
Evita Kvista, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt B301, Eagle, ID 83616 Phone: 208-412-9622 | |
Ms. Beth Elaine Landis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 E Rivers End Ct, Eagle, ID 83616 Phone: 208-939-6030 | |
Bethany Joy Mello, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 170, Eagle, ID 83616 Phone: 208-939-3505 | |
Christopher Alan Anthony Nicholas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 | |
Jessica Watson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 S Linder Rd Apt O107, Eagle, ID 83616 Phone: 208-519-8520 | |
Claudia Parcells, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616 Phone: 208-939-3505 Fax: 208-939-3507 | |
Allison Roper Serr, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1079 S Ancona Ave Ste 100, Eagle, ID 83616 Phone: 208-853-2273 |