Lydia Louise Long, CRNA | |
701 Grove Rd, Greenville, SC 29605-5611 | |
(864) 455-7000 | |
Not Available |
Full Name | Lydia Louise Long |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 701 Grove Rd, Greenville, South Carolina |
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 |
---|---|---|---|
1801165311 | NPI | - | NPPES |
AN2179 | Medicaid | SC | |
P01026387 | Other | SC | RR MEDICARE |
Q384903365 | Other | SC | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 088677 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Entity Name | Pelham Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962644773 PECOS PAC ID: 2365519097 Enrollment ID: O20090602000210 |
Entity Name | Under Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194018242 PECOS PAC ID: 6901083724 Enrollment ID: O20110603000459 |
Entity Name | Prisma Health-upstate |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
Mailing Address | Practice Location Address |
---|---|
Lydia Louise Long, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Lydia Louise Long, CRNA 701 Grove Rd, Greenville, SC 29605-5611 Ph: (864) 455-7000 |
Paul Derek Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Ashley Ann Alguire, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. J Ross Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
George R Sweet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Anesthesia Dept, Greenville, SC 29605 Phone: 864-455-7111 | |
Jennifer Webb George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7111 Fax: 864-455-6441 | |
Amanda Tipton Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-522-2286 | |
Tyler Withrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7000 |